Individual
MRS. ANDREA DESHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25 NW PARK PL, BEND, OR 97703-2954
(541) 640-9888
Mailing address
25 NW PARK PL, BEND, OR 97703-2954
(541) 640-9888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4408
OR
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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