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Individual

MR. BRANDON W LIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC-I

Contact information

Practice address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
Mailing address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OR
101YM0800X
Mental Health Counselor
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163W00000X
OR
Enumeration date
05/31/2022
Last updated
11/26/2024
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