Individual
MISS KELSEY ELIZABETH CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, QMHP
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
Mailing address
62960 FLORENCE DR, BEND, OR 97701-9753
(541) 915-4055
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3124
OR
Other
Enumeration date
03/22/2007
Last updated
09/08/2016
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