# ANDREA DESHA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeSha Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306407432
- **Authorized official:** ANDREA DESHA MS, LPC (OWNER)
- **Authorized official phone:** (541) 640-9888

## Contact information

- **Practice address:** 25 NW PARK PL, BEND, OR 97703-2954
- **Practice address phone:** (541) 640-9888
- **Practice address fax:** (541) 318-5600
- **Mailing address:** 25 NW PARK PL, BEND, OR 97703-2954
- **Mailing address phone:** (541) 640-9888
- **Mailing address fax:** (541) 318-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2019
- **Last updated:** 06/28/2019