Individual
ANNA FREDSTRUP BUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CADC-1, QMHP
Contact information
Practice address
2210 N. ELDORADO AVE, KLAMATH FALLS, OR 97601
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
C3979
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500657671
—
OR
Enumeration date
11/08/2010
Last updated
11/28/2023
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