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Organization
KIANA KURZYNOWSKI LPC LLC
Active
Organization
KIANA KURZYNOWSKI LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOLENE KIANA KURZYNOWSKI LPC (OWNER)
(808) 633-1386
Entity
Organization
Contact information
Practice address
5 NW FRANKLIN AVE, BEND, OR 97703-2905
(541) 610-8826
Mailing address
63427 DESCHUTES MARKET RD, BEND, OR 97701-8813
(808) 633-1386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712217
—
OR
01
—
C5862
LPC LICENSE NUMBER
OR
Enumeration date
03/02/2021
Last updated
03/02/2021
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