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Individual

PATRICK BRIAN DEVLIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, CADC II

Contact information

Practice address
731 NW FRANKLIN AVE, BEND, OR 97703-2752
(541) 306-1128
Mailing address
10258 WAGNER CREEK RD, TALENT, OR 97540-7807
(972) 741-7400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12-03-57
OR
1041C0700X
Clinical Social Worker
Primary
L6742
OR

Other

Enumeration date
08/24/2017
Last updated
08/30/2017
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