Individual
EDGAR JULIAN CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
19855 4TH ST STE 106, BEND, OR 97703-7814
(541) 357-7686
Mailing address
64682 COOK AVE # 1, BEND, OR 97703-9033
(541) 357-7686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
05/09/2023
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