Organization
DESCHUTES COUNTY JUVENILE COMMUNITY JUSTICE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ANDERSON (CREDENTIALING SPECIALIST)
(541) 322-7678
Entity
Organization
Contact information
Practice address
63360 NW BRITTA STREET, BUILDING 1, BEND, OR 97703
(541) 388-6671
Mailing address
PO BOX 6005, BEND, OR 97708-6005
(541) 388-6671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
06/05/2024
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