Individual
LIANA WHITELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 SW 7TH ST, REDMOND, OR 97756-2113
(541) 388-8459
Mailing address
PO BOX 542, BEND, OR 97709-0542
(458) 207-6286
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
75764
CA
1041C0700X
Clinical Social Worker
Primary
L8451
OR
Other
Enumeration date
11/16/2010
Last updated
12/23/2023
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