# POSITIVE POTENTIAL

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

## Provider details

- **NPI number:** 1356374706
- **Authorized official:** MS. JUDITH MARIE BOONE LCSW (PRESIDENT)
- **Authorized official phone:** (541) 312-3090

## Contact information

- **Practice address:** 336 NE NORTON AVE, SUITE 3, BEND, OR 97701-4350
- **Practice address phone:** (541) 312-3090
- **Practice address fax:** (541) 317-8488
- **Mailing address:** 336 NE NORTON AVE, SUITE 3, BEND, OR 97701-4350
- **Mailing address phone:** (541) 312-3090
- **Mailing address fax:** (541) 317-8488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L3116 | OR | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020