Individual
RICHARD CHARLES STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
361 NE FRANKLIN AVE BLDG E, BEND, OR 97701-4917
(541) 241-3109
(541) 833-0277
Mailing address
70 SW CENTURY DR STE 100-118, BEND, OR 97702-3557
(541) 241-3109
(541) 833-0277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5133
OR
Other
Enumeration date
05/27/2016
Last updated
09/20/2019
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