Provider Demographics
NPI:1063569325
Name:MORRISON, EUGENE MARTIN JR (LMFT)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:MARTIN
Last Name:MORRISON
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:EUGENE
Other - Middle Name:MARTIN
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1588 HOMESTEAD RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4783
Mailing Address - Country:US
Mailing Address - Phone:408-507-1447
Mailing Address - Fax:408-984-0135
Practice Address - Street 1:565 CASTRO ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2009
Practice Address - Country:US
Practice Address - Phone:650-903-2881
Practice Address - Fax:650-903-2870
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health