Living Wisdom Incorporated | |
548 Sw 13th St Suite #100 Bend OR 97702-3184 | |
(541) 419-3947 | |
Not Available |
Full Name | Living Wisdom Incorporated |
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Speciality | Counselor - Mental Health |
Location | 548 Sw 13th St, Bend, Oregon |
Authorized Official Name and Position | D'arcy Benedict Swanson (PRESIDENT) |
Authorized Official Contact | 5414193947 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Living Wisdom Incorporated 19928 Sw Hollygrape St Bend OR 97702-2575 Ph: (541) 419-3947 | Living Wisdom Incorporated 548 Sw 13th St Suite #100 Bend OR 97702-3184 Ph: (541) 419-3947 |
NPI Number | 1447429188 |
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Provider Enumeration Date | 02/27/2008 |
Last Update Date | 02/27/2008 |
Identifier | Type | State | Issuer |
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1447429188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C1803 (Oregon) | Primary |
101YP2500X | Counselor - Professional | C1803 (Oregon) | Secondary |
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