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Katie Ford Lpc Mft
Adult Mental Health Clinic/Center in Bend, Oregon
NPI 1144866096

Katie Ford Lpc Mft is an Adult Mental Health Clinic/Center based in Bend, OR and is specialized in Adult Mental Health. Katie Ford Lpc Mft practices in Bend, OR. The NPI Number for Katie Ford Lpc Mft is 1144866096 and holds a License No. (Oregon).

The current practice location address for Katie Ford Lpc Mft is 143 Sw Shevlin Hixon Dr, Bend, OR and can be reached out via phone at 661-426-4213.

Location: 143 Sw Shevlin Hixon Dr, Bend, OR, 97702-1286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144866096
Provider Name
Katie Ford Lpc Mft
Credential
Provider Entity Type
Organization
Address
143 Sw Shevlin Hixon Dr, Bend, OR, 97702-1286
Phone Number
661-426-4213
Fax Number
Provider Enumeration Date
11/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T0574 01 OR MARRIAGE & FAMILY THERAPIST
C2149 01 OR LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
143 Sw Shevlin Hixon Dr
City
Bend
State
Oregon
Zip
97702-3189
Phone Number
661-426-4213
Fax Number
person
Provider Business Mailing Address Details
Address
143 Sw Shevlin Hixon Dr
City
Bend
State
Oregon
Zip
97702-3189
Phone Number
661-426-4213
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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