Individual
REILLY CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 SW 7TH ST, REDMOND, OR 97756-2113
(541) 388-8459
Mailing address
1333 NW 9TH ST, PRINEVILLE, OR 97754-1482
(541) 447-2631
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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