Individual
KELLI DIANE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 NW KINGWOOD AVE, REDMOND, OR 97756-1688
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7571
OR
Other
Enumeration date
08/08/2019
Last updated
01/05/2026
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