| Deschutes Counseling Llc | |
|
2190 Ne Professional Ct Ste 250 Bend OR 97701-6988 | |
| (541) 221-6653 | |
| (541) 385-6080 |
| Full Name | Deschutes Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2190 Ne Professional Ct Ste 250, Bend, Oregon |
| Authorized Official Name and Position | Gary Eugene Hunter (OWNER/THEAPIST) |
| Authorized Official Contact | 5415130500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deschutes Counseling Llc 2190 Ne Professional Ct Ste 250 Bend OR 97701-6988 Ph: (541) 221-6653 | Deschutes Counseling Llc 2190 Ne Professional Ct Ste 250 Bend OR 97701-6988 Ph: (541) 221-6653 |
| NPI Number | 1821561580 |
|---|---|
| Provider Enumeration Date | 01/05/2019 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 5092041061 |
|---|---|
| Medicare Enrollment ID | O20190729002716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821561580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gary Eugene Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427450360 PECOS PAC ID: 6901132976 Enrollment ID: I20200513002562 |
| Provider Name | Laurie Anne Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912322090 PECOS PAC ID: 9537495502 Enrollment ID: I20240212001254 |
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