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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA SINACORI (LMFT, OWNER)
(541) 203-0395
Entity
Organization

Contact information

Practice address
345 SW CYBER DR STE 104, BEND, OR 97702-1045
(202) 365-0745
Mailing address
345 SW CYBER DR STE 104, BEND, OR 97702-1045
(541) 203-0395

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
08/21/2019
Last updated
10/15/2019
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