Individual
DR. DEANNA MOZO HELLWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
63220 SILVIS RD, BEND, OR 97701-9743
(541) 280-4100
Mailing address
17155 AVOCET DR, BEND, OR 97707-2399
(907) 947-5514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6344
OR
101YP2500X
Professional Counselor
R5759
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500767548
—
OR
Enumeration date
05/17/2019
Last updated
04/03/2023
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