| Roots And Branches Counseling Llc | |
|
29 Nw Greeley Ave Bend OR 97703-2911 | |
| (541) 241-2252 | |
| Not Available |
| Full Name | Roots And Branches Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 29 Nw Greeley Ave, Bend, Oregon |
| Authorized Official Name and Position | Karissa L Viebeck (PROVIDER) |
| Authorized Official Contact | 5412412252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots And Branches Counseling Llc 61336 Stardrift Dr Bend OR 97702-2051 Ph: (503) 804-2295 | Roots And Branches Counseling Llc 29 Nw Greeley Ave Bend OR 97703-2911 Ph: (541) 241-2252 |
| NPI Number | 1255966131 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255966131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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