Individual
KRYSTA IVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6396 SW MCVEY AVE, REDMOND, OR 97756-9069
(971) 217-6150
Mailing address
743 NW QUINCE AVE, REDMOND, OR 97756-1250
(360) 526-1448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7963
OR
Other
Enumeration date
12/31/2019
Last updated
02/15/2025
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