Individual
DUSTIN URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1569 SW NANCY WAY, SUITE 1, BEND, OR 97702-3234
(541) 617-0377
Mailing address
1569 SW NANCY WAY, SUITE 1, BEND, OR 97702-3234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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