Katie Ford Lpc Mft | |
2500 Ne Twin Knolls Dr Ste 260 Bend OR 97701-4786 | |
(661) 426-4213 | |
Not Available |
Full Name | Katie Ford Lpc Mft |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 2500 Ne Twin Knolls Dr Ste 260, Bend, Oregon |
Authorized Official Name and Position | Katie Ford (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 6614264213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Katie Ford Lpc Mft 73 Sw Taft Ave Bend OR 97702-1286 Ph: (661) 426-4213 | Katie Ford Lpc Mft 2500 Ne Twin Knolls Dr Ste 260 Bend OR 97701-4786 Ph: (661) 426-4213 |
NPI Number | 1144866096 |
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Provider Enumeration Date | 11/25/2019 |
Last Update Date | 09/09/2024 |
Certification Date | 09/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144866096 | NPI | - | NPPES |
T0574 | Other | OR | MARRIAGE & FAMILY THERAPIST |
C2149 | Other | OR | LICENSED PROFESSIONAL COUNSELOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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