person
Sierra Short Groenewold, LPC
Professional Counselor in Redmond, Oregon
NPI 1962711150

Sierra Short Groenewold is a Professional Counselor based in Prineville, OR and is specialized in Professional. Sierra Short Groenewold practices in Redmond, OR and has the professional credentials of LPC. The NPI Number for Sierra Short Groenewold is 1962711150 and holds a License No. C3377 (Oregon).

The current practice location address for Sierra Short Groenewold is 111 Nw Larch Ave, Redmond, OR and can be reached out via phone at 541-923-4462.

Location: 111 Nw Larch Ave, Redmond, OR, 97754-1802
person
Provider Profile Details
NPI Number
1962711150
Provider Name
Sierra Short Groenewold
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
111 Nw Larch Ave, Redmond, OR, 97754-1802
Phone Number
541-923-4462
Fax Number
Provider Enumeration Date
10/05/2010
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500668371 05 OR
institution
Provider Business Practice Location Address Details
Address
111 Nw Larch Ave
City
State
Zip
97756-1322
Phone Number
541-923-4462
Fax Number
person
Provider Business Mailing Address Details
Address
111 Nw Larch Ave
City
State
Zip
97756-1322
Phone Number
541-923-4462
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C3377 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3377 (Oregon)
Definition
Definition to come...
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