Individual
JESSICA WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2260 NE HWY 20, STE 610 PMB#: 365, BEND, OR 97701-1557
(541) 527-2599
Mailing address
2260 NE HWY 20, STE 610 PMB#: 365, BEND, OR 97701
(541) 527-2599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5817
OR
Other
Enumeration date
10/06/2015
Last updated
02/24/2022
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