Individual provider · Type 1 NPI

Fred Doolin Iii, MA, LPC, CADC I

Professional Counselor · Bend, OR

NPI number 1053586610 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC3402 (OR)

Professional Counselor: Definition to come...

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About NPI 1053586610

Fred Doolin Iii, MA, LPC, CADC I's National Provider Identifier is 1053586610, issued on Apr 24, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Apr 11, 2014.