Individual
KATHY MAGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 NW GREENWOOD AVE, BEND, OR 97703-2078
(541) 383-4293
Mailing address
PO BOX 3374, LA PINE, OR 97739-3374
(541) 536-2431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-09-29
OR
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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