Individual
JULIE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
107 ISLAND AVE, LA GRANDE, OR 97850-2940
(541) 663-4104
(541) 663-4142
Mailing address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 663-4104
(541) 663-4142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
26-QMHA-R-8190
OR
175T00000X
Peer Specialist
17-CRM-232
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500699830
—
OR
Enumeration date
02/18/2016
Last updated
01/27/2026
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