| Kiana Kurzynowski Lpc Llc | |
|
5 Nw Franklin Ave Bend OR 97703-2905 | |
| (541) 610-8826 | |
| Not Available |
| Full Name | Kiana Kurzynowski Lpc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Nw Franklin Ave, Bend, Oregon |
| Authorized Official Name and Position | Kolene Kiana Kurzynowski (OWNER) |
| Authorized Official Contact | 8086331386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiana Kurzynowski Lpc Llc 63427 Deschutes Market Rd Bend OR 97701-8813 Ph: (808) 633-1386 | Kiana Kurzynowski Lpc Llc 5 Nw Franklin Ave Bend OR 97703-2905 Ph: (541) 610-8826 |
| NPI Number | 1821683749 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Certification Date | 03/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821683749 | NPI | - | NPPES |
| C5862 | Other | OR | LPC LICENSE NUMBER |
| 500712217 | Medicaid | OR |
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