Individual
KIMBERLY M RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MS
Contact information
Practice address
1005 SW DISK DR STE 104, BEND, OR 97702-3385
(541) 419-9949
Mailing address
1005 SW DISK DR STE 104, BEND, OR 97702-3385
(414) 199-9495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R-4963
OR
101YP2500X
Professional Counselor
Primary
C5608
OR
Other
Enumeration date
10/03/2017
Last updated
01/08/2025
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