Individual
CHEYENNE NIEBLAS-HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
62930 OB RILEY RD STE 200, BEND, OR 97703-9459
(541) 330-1919
Mailing address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 868-2004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11476
OR
106S00000X
Behavior Technician
RBT-19-87318
TX
Other
Enumeration date
05/21/2019
Last updated
05/27/2025
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