# DESCHUTES COUNTY JUVENILE COMMUNITY JUSTICE DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174392260
- **Authorized official:** SANDRA ANDERSON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (541) 322-7678

## Contact information

- **Practice address:** 63360 NW BRITTA STREET, BUILDING 1, BEND, OR 97703
- **Practice address phone:** (541) 388-6671
- **Mailing address:** PO BOX 6005, BEND, OR 97708-6005
- **Mailing address phone:** (541) 388-6671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2023
- **Last updated:** 06/05/2024