Healthcare Provider Details
I. General information
NPI: 1649517566
Provider Name (Legal Business Name): ARIEL YABEK M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/11/2013
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
370 E 46TH AVE
EUGENE OR
97405-3421
US
IV. Provider business mailing address
PO BOX 50592
EUGENE OR
97405-0985
US
V. Phone/Fax
- Phone: 541-204-2705
- Fax:
- Phone: 707-478-2448
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 50162 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | T1301 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: