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Organization
ELEMENTS COUNSELING, WELLNESS, AND TRAINING INSTITUTE, LLC
Active
Organization
ELEMENTS COUNSELING, WELLNESS, AND TRAINING INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA DEFEO MA (MARRIAGE AND FAMILY THERAPIST)
(541) 241-6570
Entity
Organization
Contact information
Practice address
354 NE GREENWOOD AVE STE 109, BEND, OR 97701-4600
(541) 241-6570
Mailing address
354 NE GREENWOOD AVE STE 109, BEND, OR 97701-4600
(541) 241-6570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
07/15/2026
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