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Individual

JACEY ELLEN RIEDL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-INTERN

Contact information

Practice address
BLISSFUL HEART WELLNESS CENTER, 29 NW GREELEY AVENUE, BEND, OR 97703-5414
(303) 868-5241
Mailing address
2145 NW TWILIGHT DR, BEND, OR 97703-5414
(303) 868-5241
(541) 639-8107

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7786
OR
101YP2500X
Professional Counselor
R6395
OR

Other

Enumeration date
07/19/2021
Last updated
12/01/2023
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