Individual
DANIEL KIKKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
20370 POE SHOLES DR, BEND, OR 97703-7938
(862) 266-2784
Mailing address
20687 WHITECLIFF CIR, BEND, OR 97702-9504
(862) 266-2784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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