Individual
KATHLEEN SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
377 SW CENTURY DR STE 208, BEND, OR 97702-1419
(541) 897-7545
Mailing address
377 SW CENTURY DR STE 208, BEND, OR 97702-1419
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
90423
CA
106H00000X
Marriage & Family Therapist
Primary
T1418
OR
Other
Enumeration date
12/10/2015
Last updated
04/05/2022
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