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Organization

ALPINE COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MARTIN LPC (OWNER)
(541) 647-8553
Entity
Organization

Contact information

Practice address
15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
(541) 647-8553
Mailing address
15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
(541) 647-8553

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578738746
OR
Enumeration date
04/19/2022
Last updated
10/18/2022
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