Provider Demographics
NPI:1952794448
Name:COUNSELING AND TESTING CENTER
Entity Type:Organization
Organization Name:COUNSELING AND TESTING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:541-346-3227
Mailing Address - Street 1:1590 EAST 13TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-1280
Mailing Address - Country:US
Mailing Address - Phone:541-346-3227
Mailing Address - Fax:541-346-2842
Practice Address - Street 1:1590 EAST 13TH AVENUE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403-1280
Practice Address - Country:US
Practice Address - Phone:541-346-3227
Practice Address - Fax:541-346-2842
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF OREGON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1500251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health