| Andeen Counseling, Llc | |
|
60575 Billadeau Rd Bend OR 97702-9338 | |
| (458) 202-9366 | |
| Not Available |
| Full Name | Andeen Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 60575 Billadeau Rd, Bend, Oregon |
| Authorized Official Name and Position | Adrienne Andeen (OWNER) |
| Authorized Official Contact | 4582029366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andeen Counseling, Llc 1685 Nw Fresno Ave Bend OR 97703-3051 Ph: () - | Andeen Counseling, Llc 60575 Billadeau Rd Bend OR 97702-9338 Ph: (458) 202-9366 |
| NPI Number | 1437665478 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Medicare PECOS PAC ID | 5799045985 |
|---|---|
| Medicare Enrollment ID | O20180208000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437665478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | L7509 (Oregon) | Primary |
| Provider Name | Adrienne Andeen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073026159 PECOS PAC ID: 9234499427 Enrollment ID: I20180208000921 |
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