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Individual

KELLY LEIGH FLYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPCA

Contact information

Practice address
296 SW COLUMBIA ST STE A, BEND, OR 97702-1020
(541) 633-4591
(541) 797-0106
Mailing address
1497 NW SAGINAW AVE, BEND, OR 97703-1532
(541) 390-2707

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
504527
OR

Other

Enumeration date
06/03/2024
Last updated
10/08/2024
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