Healthcare Provider Details

I. General information

NPI: 1447390851
Provider Name (Legal Business Name): DANIELLE A NEUHAUSER M.A. LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CLUB RD STE 120
EUGENE OR
97401-2439
US

IV. Provider business mailing address

66 CLUB RD STE 120
EUGENE OR
97401-2439
US

V. Phone/Fax

Practice location:
  • Phone: 413-935-9835
  • Fax: 413-935-9845
Mailing address:
  • Phone: 541-393-5983
  • Fax: 541-393-5984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 54034
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT1347
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: