Individual
ALLYSE CARLEE ANSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 728-4555
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4099
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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