Provider Demographics
NPI:1326359597
Name:WAFF, MAUREEN FARLEY (CADC 1)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:FARLEY
Last Name:WAFF
Suffix:
Gender:F
Credentials:CADC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27847 EASY ACRES DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-9771
Mailing Address - Country:US
Mailing Address - Phone:541-335-1390
Mailing Address - Fax:
Practice Address - Street 1:27847 EASY ACRES DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-9771
Practice Address - Country:US
Practice Address - Phone:541-335-1390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORACCBO OR 99-03-25101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor