Provider Demographics
NPI:1134513856
Name:LELACHEUR, EMILIE MICHELE
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:MICHELE
Last Name:LELACHEUR
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 1:3563 SUMMIT SKY BLVD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-6281
Mailing Address - Country:US
Mailing Address - Phone:509-690-0581
Mailing Address - Fax:
Practice Address - Street 1:3563 SUMMIT SKY BLVD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-6281
Practice Address - Country:US
Practice Address - Phone:509-690-0581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health