Individual
RENEE DAWN TENDERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 NE 4TH ST STE 101, BEND, OR 97701-4646
(541) 617-7365
(541) 312-6343
Mailing address
908 NE 4TH ST STE 101, BEND, OR 97701-4646
(541) 617-7365
(541) 312-6343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
09/24/2021
Last updated
06/09/2023
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