Individual
ALIA H FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 416-3697
Mailing address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
02/27/2024
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