Organization
BEND MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JULIAN CABALLERO LPC (OWNER)
(541) 357-7686
Entity
Organization
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
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
05/09/2023
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