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Kimberly Ann Medlock
Counselor in Bend, Oregon
NPI 1750090130

Kimberly Ann Medlock is a Counselor based in La Pine, OR. Kimberly Ann Medlock practices in Bend, OR. The NPI Number for Kimberly Ann Medlock is 1750090130 and holds a License No. (Oregon).

The current practice location address for Kimberly Ann Medlock is 2480 Ne Twin Knolls Dr, Bend, OR and can be reached out via phone at 541-848-1801.

Location: 2480 Ne Twin Knolls Dr, Bend, OR, 97739-8842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750090130
Provider Name
Kimberly Ann Medlock
Credential
Provider Entity Type
Individual
Gender
Female
Address
2480 Ne Twin Knolls Dr, Bend, OR, 97739-8842
Phone Number
541-848-1801
Fax Number
Provider Enumeration Date
11/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2480 Ne Twin Knolls Dr
City
Bend
State
Oregon
Zip
97701-6833
Phone Number
541-848-1801
Fax Number
person
Provider Business Mailing Address Details
Address
2480 Ne Twin Knolls Dr
City
Bend
State
Oregon
Zip
97701-6833
Phone Number
541-848-1801
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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