Individual
EMILY BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 SE DIVISION ST STE 1, BEND, OR 97702-1250
(541) 229-8861
Mailing address
1545 NW AWBREY ROAD, BEND, OR 97703-1540
(925) 768-1935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9495
OR
Other
Enumeration date
01/15/2024
Last updated
07/22/2024
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