Provider Demographics
NPI:1033577960
Name:ADDINGTON, MAJA
Entity Type:Individual
Prefix:
First Name:MAJA
Middle Name:
Last Name:ADDINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 ALEXANDER LOOP APT 4318
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6736
Mailing Address - Country:US
Mailing Address - Phone:503-327-9641
Mailing Address - Fax:
Practice Address - Street 1:488 ALEXANDER LOOP APT 4318
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6736
Practice Address - Country:US
Practice Address - Phone:503-327-9641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-06
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3779101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional