| Briana Fox Counseling, Llc | |
|
223 Se Davis Ave Bend OR 97702-1333 | |
| (541) 604-9560 | |
| (541) 306-4671 |
| Full Name | Briana Fox Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 223 Se Davis Ave, Bend, Oregon |
| Authorized Official Name and Position | Briana Fox (OWNER) |
| Authorized Official Contact | 5416049560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Briana Fox Counseling, Llc 223 Se Davis Ave Bend OR 97702-1333 Ph: (541) 604-9560 | Briana Fox Counseling, Llc 223 Se Davis Ave Bend OR 97702-1333 Ph: (541) 604-9560 |
| NPI Number | 1215554159 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 6901258003 |
|---|---|
| Medicare Enrollment ID | O20240112004281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215554159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Briana Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508192477 PECOS PAC ID: 7719339811 Enrollment ID: I20240112004288 |
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