Individual
ELIZABETH PHILBIN BOUVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7567
Mailing address
2112 NW HARRIMAN ST, BEND, OR 97701-1319
(941) 448-5751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7868
MA
101YP2500X
Professional Counselor
Primary
C3194
OR
Other
Enumeration date
04/04/2007
Last updated
07/22/2013
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