Individual
ALLISON REBECCA UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 NW ELM AVE STE 103, REDMOND, OR 97756-1692
(541) 699-6998
Mailing address
60615 DEVON CIR, BEND, OR 97702-9467
(602) 904-3716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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