Individual
KIMBERLY DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
754 NW BROADWAY ST, SUITE #207, BEND, OR 97703-2776
(541) 668-7558
(541) 526-3008
Mailing address
754 NW BROADWAY ST, SUITE #207, BEND, OR 97703-2776
(541) 668-7558
(541) 526-3008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R4207
OR
101YP1600X
Pastoral Counselor
R4207
OR
101YP2500X
Professional Counselor
Primary
R4207
OR
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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