Individual
KRISTEN PROCHASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
70 SW CENTURY DR STE 100, BEND, OR 97702-3558
(541) 526-3175
Mailing address
70 SW CENTURY DR STE 100, BEND, OR 97702-3558
(541) 526-3175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7073
OR
101YM0800X
Mental Health Counselor
LH00005661
WA
101YP2500X
Professional Counselor
Primary
C7073
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7073
101YM0800X
OR
Enumeration date
10/01/2021
Last updated
05/08/2026
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