Jeremy Mark Pruitt in Eugene - Mental Health
Jeremy Mark Pruitt - NPI 1992849368
Jeremy Mark Pruitt is a Mental Health in Eugene, Oregon. Jeremy Mark Pruitt practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeremy Mark Pruitt is 1992849368. The last update date is 2007-07-08.
Jeremy Mark Pruitt's current location address is 1790 W 11th Ave, Eugene, Oregon. You can contact this provider via phone number 5416861262 and fax number 5416860359. The mailing address for Jeremy Mark Pruitt is 1790 W 11th Ave, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Mark Pruitt |
|---|---|
| Address | 1790 W 11th Ave, Eugene, Oregon |
| Phone Number | 5416861262 |
| Fax Number | 5416860359 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992849368 |
|---|---|
| Provider Enumeration Date | 2007-02-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1790 W 11th Ave |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974023758 |
| Phone Number | 5416861262 |
| Fax Number | 5416860359 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique provider identifier assigned to Jeremy Mark Pruitt?
The Jeremy Mark Pruitt has been issued the NPI (National Provider Identifier) 1992849368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jeremy Mark Pruitt?
The Jeremy Mark Pruitt is situated at 1790 W 11Th Ave, in the city of Eugene, state of OR, with the zip code 974023758.
What is the Jeremy Mark Pruitt's specialty and taxonomy code?
The Jeremy Mark Pruitt's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992849368 to Jeremy Mark Pruitt?
The Jeremy Mark Pruitt received its 1992849368 assignment from the Centers for Medicare & Medicaid Services on 2007-02-17.
When was the information regarding Jeremy Mark Pruitt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeremy Mark Pruitt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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