Individual
KATIE O'BRIEN KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1333 NW 9TH ST, PRINEVILLE, OR 97754-1482
(541) 447-4631
(541) 447-2616
Mailing address
70 SW CENTURY DR STE 100-339, BEND, OR 97702-3557
(909) 533-0375
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC# 52109
CA
106H00000X
Marriage & Family Therapist
Primary
T1385
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500738169
—
OR
Enumeration date
04/17/2013
Last updated
03/30/2020
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