Provider Demographics
NPI:1841188356
Name:ENOS, WESLEY WILLIAM (LPC INTERN)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:WILLIAM
Last Name:ENOS
Suffix:
Gender:M
Credentials:LPC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34200 ENOS DR
Mailing Address - Street 2:
Mailing Address - City:HALSEY
Mailing Address - State:OR
Mailing Address - Zip Code:97348-9611
Mailing Address - Country:US
Mailing Address - Phone:415-676-9767
Mailing Address - Fax:
Practice Address - Street 1:132 E BROADWAY STE 431
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3158
Practice Address - Country:US
Practice Address - Phone:541-390-4559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor