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Individual

CHRISTY L MACIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSWA

Contact information

Practice address
20352 ROCCA WAY, BEND, OR 97702-8121
(541) 419-8844
Mailing address
20352 ROCCA WAY, BEND, OR 97702-8121
(541) 419-8844

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
Primary
A17837
OR
175T00000X
Peer Specialist
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283234
OR
Enumeration date
09/30/2016
Last updated
04/13/2026
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