person
John Bryan Wilson, QHMP
Mental Health Counselor in Bend, Oregon
NPI 1679297816

John Bryan Wilson is a Mental Health Counselor based in Bend, OR and is specialized in Mental Health. John Bryan Wilson practices in Bend, OR and has the professional credentials of QHMP. The NPI Number for John Bryan Wilson is 1679297816 and holds a License No. 22-QHMP-R-1539 (Oregon).

The current practice location address for John Bryan Wilson is 20370 Poe Sholes Dr, Bend, OR and can be reached out via phone at 541-318-1377 and via fax at 541-383-4587.

Location: 20370 Poe Sholes Dr, Bend, OR, 97703-7938
person
Provider Profile Details
NPI Number
1679297816
Provider Name
John Bryan Wilson
Credential
QHMP
Provider Entity Type
Individual
Gender
Male
Address
20370 Poe Sholes Dr, Bend, OR, 97703-7938
Phone Number
541-318-1377
Fax Number
541-383-4587
Provider Enumeration Date
09/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20370 Poe Sholes Dr
City
State
Zip
97703-7938
Phone Number
541-318-1377
Fax Number
541-383-4587
person
Provider Business Mailing Address Details
Address
20370 Poe Sholes Dr
City
State
Zip
97703-7938
Phone Number
541-318-1377
Fax Number
541-383-4587
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
22-QHMP-R-1539 (Oregon)
Definition
Definition to come...
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