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Organization
LIESL FARNSWORTH, PHD, LPC
Active
Organization
LIESL FARNSWORTH, PHD, LPC
Active
Other names
Liesl Farnsworth, PhD, LPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIESL FARNSWORTH PHD, LPC (OWNER)
(541) 388-1261
Entity
Organization
Contact information
Practice address
552 NW SAGINAW AVE # 2, BEND, OR 97703-1120
(541) 388-1261
Mailing address
552 NW SAGINAW AVE # 2, BEND, OR 97703-1120
(541) 388-1261
(541) 306-4577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/10/2019
Last updated
05/07/2021
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