Individual provider · Type 1 NPI

Johanna Michelle Hershenson, QMHP

Mental Health Counselor · Bend, OR

NPI number 1174088934 Active

Practice location

1569 SW Nancy Way
Bend, OR 97702-3234

Mailing address

4880 SE Cc Dunham Rd
Prineville, OR 97754-9577

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174088934

Johanna Michelle Hershenson, QMHP's National Provider Identifier is 1174088934, issued on Feb 6, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Feb 6, 2019.