Organization
BEND COUNSELING & BIOFEEDBACK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY WAYNE WILD LPC (PRESIDENT)
(541) 550-7940
Entity
Organization
Contact information
Practice address
851 NE 8TH ST, BEND, OR 97701-4839
(541) 550-7940
(541) 550-7941
Mailing address
851 NE 8TH ST, BEND, OR 97701-4839
(541) 550-7940
(541) 550-7941
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1740
OR
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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