Individual
JEANIE BETH BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
461 NE GREENWOOD AVE, SUITE A, BEND, OR 97701-4607
(541) 617-7365
(541) 312-6343
Mailing address
461 NE GREENWOOD AVE, SUITE A, BEND, OR 97701-4607
(541) 617-7365
(541) 312-6343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2638
OR
Other
Enumeration date
12/14/2006
Last updated
03/07/2012
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