Individual
MS. SHANNON LEE HODGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP, LMFT-I
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T2398
OR
Other
Enumeration date
05/03/2019
Last updated
09/26/2023
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