Miah Andersen

Individual provider Active NPI Mental Health Counselor · Bend, OR

NPI 1992540199 · NPPES record last updated Jun 28, 2024

Key facts

NPI
1992540199
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1900 NE Division St Ste 201
Bend, OR 97701-3572
Phone
(541) 516-6330
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1900 NE Division St Ste 201
Bend, OR 97701-3572

Mailing address

1900 NE Division St Ste 201
Bend, OR 97701-3572

Other providers in Bend, OR

All providers in Bend, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.