MEDICARE: TESSA BRIGHT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C10734	OR
2	101YM0800X	Mental Health Counselor		OR

General Provider Information

NPI Number	:	1134877277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESSA BRIGHT LPC

Provider Business Mailing Address
First Line	:	2218 BLUE HERON LN
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97402-1362
Country	:	US
Telephone Number	:	458-210-7514
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 BLUE HERON LN
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97402-1362
Country	:	US
Telephone Number	:	458-210-7514
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	03/13/2026

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Directions to “ TESSA BRIGHT LPC” Practice Location

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