Individual
LANA BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 NE DIVISION ST STE 201, BEND, OR 97701-3572
(541) 516-6330
Mailing address
1900 NE DIVISION ST STE 201, BEND, OR 97701-3572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
09/11/2024
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