Organization
ROOTS AND BRANCHES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA L VIEBECK LCSW (PROVIDER)
(541) 241-2252
Entity
Organization
Contact information
Practice address
29 NW GREELEY AVE, BEND, OR 97703-2911
(541) 241-2252
Mailing address
61336 STARDRIFT DR, BEND, OR 97702-2051
(503) 804-2295
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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