Individual provider · Type 1 NPI

Pamella Moredock Talley, MA

Mental Health Counselor · Bend, OR

NPI number 1265575013 Active

Practice location

965 SW Emkay Dr
Bend, OR 97702-3033

Call (541) 389-2242 Map

Fax (541) 389-5069

Mailing address

352 NW Drake Rd
Bend, OR 97701-2316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XT0005 (OR)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1265575013

Pamella Moredock Talley, MA's National Provider Identifier is 1265575013, issued on Feb 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Jul 8, 2007.