Individual
JAMIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, CRM, PSS
Contact information
Practice address
685 SE 3RD ST, BEND, OR 97702-1754
(541) 617-7365
Mailing address
685 SE 3RD ST, BEND, OR 97702-1754
(541) 668-9070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3930
OR
101YM0800X
Mental Health Counselor
25-QMHA-R-6536
OR
175T00000X
Peer Specialist
17-CRM-235
OR
Other
Enumeration date
03/08/2018
Last updated
04/17/2025
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