Organization
JESSICA RAE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RAE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(541) 890-3061
Entity
Organization
Contact information
Practice address
1011 SW EMKAY DR STE 101, BEND, OR 97702-3162
(541) 890-3061
Mailing address
19903 PORCUPINE DR, BEND, OR 97702-3986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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