person
Kylie Jeane Bauer Frideres, MA
Mental Health Counselor in Bend, Oregon
NPI 1235498536

Kylie Jeane Bauer Frideres is a Mental Health Counselor based in Bend, OR and is specialized in Mental Health. Kylie Jeane Bauer Frideres practices in Bend, OR and has the professional credentials of MA. The NPI Number for Kylie Jeane Bauer Frideres is 1235498536 and holds a License No. C4603 (Oregon).

The current practice location address for Kylie Jeane Bauer Frideres is 731 Nw Franklin Ave Ste 107, Bend, OR and can be reached out via phone at 541-306-1128 and via fax at 541-647-1162.

Location: 731 Nw Franklin Ave Ste 107, Bend, OR, 97702-7909
person
Provider Profile Details
NPI Number
1235498536
Provider Name
Kylie Jeane Bauer Frideres
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
731 Nw Franklin Ave Ste 107, Bend, OR, 97702-7909
Phone Number
541-306-1128
Fax Number
541-647-1162
Provider Enumeration Date
05/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123190 05 OR
institution
Provider Business Practice Location Address Details
Address
731 Nw Franklin Ave Ste 107
City
State
Zip
97703
Phone Number
541-306-1128
Fax Number
541-647-1162
person
Provider Business Mailing Address Details
Address
731 Nw Franklin Ave Ste 107
City
State
Zip
97703
Phone Number
541-306-1128
Fax Number
541-647-1162
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C4603 (Oregon)
Definition
Definition to come...
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