Individual
JANELLE HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62930 O B RILEY RD, SUITE 110, BEND, OR 97703-9458
(541) 410-4107
Mailing address
62930 O B RILEY RD, SUITE 110, BEND, OR 97703-9458
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0954
OR
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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