Organization
ELEMENTS COUNSELING, WELLNESS, AND TRAINING INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN DEFEO PHD (OWNER)
(541) 699-1083
Entity
Organization
Contact information
Practice address
354 NE GREENWOOD AVE STE 204, BEND, OR 97701-4632
(541) 699-1083
Mailing address
354 NE GREENWOOD AVE STE 204, BEND, OR 97701-4632
(541) 699-1083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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