Ignite, LLC

NPI #1336707843 in Eugene, Oregon

Provider Information

NPI Number: 1336707843
Entity Type: Organization
Organization Name: Ignite, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 30, 2019
Last Updated: Mar 4, 2020

Practice Location

Address: 438 CHARNELTON ST STE 102
City: Eugene
State: Oregon
ZIP Code: 97401-2760
Phone: (541) 870-2904

Authorized Official

Name: JASMINE ROSE PENTER, MSW, LCSW
Title: OWNER/CLINICIAN
Phone: (541) 870-2904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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