| North Star Counseling Services, Llc | |
|
155 Nw Hawthorne Ave Bend OR 97703-2917 | |
| (541) 241-4420 | |
| (541) 610-1887 |
| Full Name | North Star Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 155 Nw Hawthorne Ave, Bend, Oregon |
| Authorized Official Name and Position | Steven J. Roberts (OWNER) |
| Authorized Official Contact | 5412414420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Counseling Services, Llc 20005 Voltera Pl Bend OR 97702-3013 Ph: (541) 241-4420 | North Star Counseling Services, Llc 155 Nw Hawthorne Ave Bend OR 97703-2917 Ph: (541) 241-4420 |
| NPI Number | 1255040739 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255040739 | NPI | - | NPPES |
| 500767099 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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