Individual
KARISSA L VIEBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
51340 HIGHWAY 97, LA PINE, OR 97739-9871
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8551
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500724776
—
OR
Enumeration date
04/25/2017
Last updated
03/10/2020
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