Organization
WESTSIDE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI JOHANNSEN LCSW (BUSINESS OWNER)
(541) 301-6591
Entity
Organization
Contact information
Practice address
2863 NW CROSSING DR STE 212, BEND, OR 97703-7190
(541) 948-7032
Mailing address
1866 NW IOWA AVE, BEND, OR 97703-1010
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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