Individual
TONI BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7678
Mailing address
3178 NW FAIRWAY HEIGHTS DR, BEND, OR 97701-8350
(541) 647-1129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1867
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227624
—
OR
Enumeration date
09/22/2006
Last updated
01/25/2012
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