Organization
TRANSFORMATION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN JEWELL FAGAN LPC (PARTNER/OWNER)
(541) 508-9354
Entity
Organization
Contact information
Practice address
339 SW CENTURY DR STE 201, BEND, OR 97702-1338
(541) 508-9354
Mailing address
3616 SW REINDEER AVE, REDMOND, OR 97756-7953
(541) 508-9354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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