Healthcare Provider Details

I. General information

NPI: 1841439007
Provider Name (Legal Business Name): ANNA RENE' THOMAS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 PEARL ST STE 109
EUGENE OR
97401-2780
US

IV. Provider business mailing address

590 PEARL ST STE 109
EUGENE OR
97401-2780
US

V. Phone/Fax

Practice location:
  • Phone: 541-228-7882
  • Fax:
Mailing address:
  • Phone: 541-228-7882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP0503018
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC6189
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: