Provider Demographics
NPI:1164192498
Name:COMPEAU, NINA CELINE
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:CELINE
Last Name:COMPEAU
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 1:2952 KINCAID ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4158
Mailing Address - Country:US
Mailing Address - Phone:541-941-3060
Mailing Address - Fax:
Practice Address - Street 1:2490 WILLAMETTE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-7210
Practice Address - Country:US
Practice Address - Phone:541-941-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health