Individual
KRISTEN LEE SHADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
336 NE NORTON AVE STE 1, BEND, OR 97701-4386
(541) 622-2533
Mailing address
336 NE NORTON AVE STE 1, BEND, OR 97701-4386
(541) 622-2533
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
100648
CA
106H00000X
Marriage & Family Therapist
Primary
T1875
OR
Other
Enumeration date
12/16/2017
Last updated
02/18/2022
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