Organization
KRISTIN MATHES CLINICAL MENTAL HEALTH
Active
Other names
Emerge Surf and Somatic Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARIE MATHES LCSW (OWNER)
(920) 286-2316
Entity
Organization
Contact information
Practice address
1622 NW AWBREY RD, BEND, OR 97703-1833
(920) 286-2316
Mailing address
70 SW CENTURY DR, SET 100 PMB 5040, BEND, OR 97702
(920) 286-2316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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