Healthcare Provider Details

I. General information

NPI: 1700726460
Provider Name (Legal Business Name): LYN MARIE PECUE CADC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

492 E 13TH AVE STE 210
EUGENE OR
97401-4268
US

IV. Provider business mailing address

987 LADD AVE
JUNCTION CITY OR
97448-8606
US

V. Phone/Fax

Practice location:
  • Phone: 458-201-3224
  • Fax:
Mailing address:
  • Phone: 458-201-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24-01-10981
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: