person
Kristen Prochaska, MA
Mental Health Counselor in Bend, Oregon
NPI 1598437147

Kristen Prochaska is a Mental Health Counselor based in Bend, OR and is specialized in Mental Health. Kristen Prochaska practices in Bend, OR and has the professional credentials of MA. The NPI Number for Kristen Prochaska is 1598437147 and holds a License No. LH00005661 (Oregon).

The current practice location address for Kristen Prochaska is 609 Se Glencoe Pl, Bend, OR and can be reached out via phone at 425-890-1187.

Location: 609 Se Glencoe Pl, Bend, OR, 97702-1695
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Provider Profile Details
NPI Number
1598437147
Provider Name
Kristen Prochaska
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
609 Se Glencoe Pl, Bend, OR, 97702-1695
Phone Number
425-890-1187
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C7073 01 OR 101YM0800X
institution
Provider Business Practice Location Address Details
Address
609 Se Glencoe Pl
City
State
Zip
97702-1695
Phone Number
425-890-1187
Fax Number
person
Provider Business Mailing Address Details
Address
609 Se Glencoe Pl
City
State
Zip
97702-1695
Phone Number
425-890-1187
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH00005661 (Washington)
Definition
Definition to come...
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