Individual
MICHAEL THOMAS GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
377 SW CENTURY DR STE 204, BEND, OR 97702-1419
(541) 410-6770
Mailing address
377 SW CENTURY DR STE 204, BEND, OR 97702-1419
(541) 410-6770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4041
OR
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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