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Organization
LARK SONG COUNSELING LLC
Active
Organization
LARK SONG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA THEDFORD LPC (OWNER/PRACTIONER)
(541) 390-8655
Entity
Organization
Contact information
Practice address
731 NW FRANKLIN AVE STE 100, BEND, OR 97703-2752
(541) 229-8861
Mailing address
731 NW FRANKLIN AVE STE 100, BEND, OR 97703-2752
(541) 229-8861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500677784
—
OR
Enumeration date
02/18/2021
Last updated
02/18/2021
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