| Pour Over Counseling Llc | |
|
625 Nw Colorado Ave Bend OR 97703-3257 | |
| (541) 991-5323 | |
| Not Available |
| Full Name | Pour Over Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 625 Nw Colorado Ave, Bend, Oregon |
| Authorized Official Name and Position | Amanda Frithiof (OWNER) |
| Authorized Official Contact | 5419915323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pour Over Counseling Llc 3214 Sw Xero Ave Redmond OR 97756-8054 Ph: (541) 991-5323 | Pour Over Counseling Llc 625 Nw Colorado Ave Bend OR 97703-3257 Ph: (541) 991-5323 |
| NPI Number | 1376316877 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376316877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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