Most Relevant Information
Provider Data
| NPI Number: | 1003048141 |
| Provider Name: | CAROLYN ANN HENNESSEY M.A., LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | T0582 |
Most Important Dates
| Enumeration Date: | 08/21/2009 |
| Last Updated: | 08/21/2009 |
Provider Practice Location
401 E 10TH AVE STE 200
EUGENE
OR
974013304
Practice Location Phone/Fax
| Phone: | 5412813738 |
| Fax: |
Provider Mailing Location
401 E 10TH AVE STE 200
EUGENE
OR
974013304
Provider Mailing Phone/Fax
| Phone: | 5412813738 |
| Fax: |