Individual
KELLY HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1375 NW KINGSTON AVE, BEND, OR 97703-2242
(541) 383-5958
Mailing address
1375 NW KINGSTON AVE, BEND, OR 97703-2242
(541) 383-5978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L16215
OR
Other
Enumeration date
12/11/2020
Last updated
05/15/2025
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