Organization
BROKEN TOP COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MOORE LPC (OWNER)
(541) 280-5210
Entity
Organization
Contact information
Practice address
760 NW HARRIMAN ST STE 100, BEND, OR 97703-2789
(541) 280-5210
Mailing address
760 NW HARRIMAN ST STE 100, BEND, OR 97703-2789
(541) 280-5210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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