| Elements Counseling, Wellness, And Training Institute, Llc | |
|
354 Ne Greenwood Ave Ste 204 Bend OR 97701-4632 | |
| (541) 699-1083 | |
| Not Available |
| Full Name | Elements Counseling, Wellness, And Training Institute, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 354 Ne Greenwood Ave Ste 204, Bend, Oregon |
| Authorized Official Name and Position | Jennifer Lynn Defeo (OWNER) |
| Authorized Official Contact | 5416991083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elements Counseling, Wellness, And Training Institute, Llc 354 Ne Greenwood Ave Ste 204 Bend OR 97701-4632 Ph: (541) 699-1083 | Elements Counseling, Wellness, And Training Institute, Llc 354 Ne Greenwood Ave Ste 204 Bend OR 97701-4632 Ph: (541) 699-1083 |
| NPI Number | 1215644133 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215644133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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