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1962992180
SHANNON JENSEN SMYTH
EUGENE, OR
NPI
1962992180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5327)
Enumeration Date
2018-05-14
Last Update Date
2020-09-23
Business Address
Mr. SHANNON JENSEN SMYTH LPC, NCC, CCMHC
VA EUGENE DOWNTOWN CLINIC 211 E. 7TH AVE
EUGENE, OR 97401
Phone number: 541-671-0448
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Mailing Address
Mr. SHANNON JENSEN SMYTH LPC, NCC, CCMHC
2765 KISMET WAY
EUGENE, OR 97405-6208
Phone number: 541-870-2751
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