Individual provider · Type 1 NPI

Kendall Wallace

Counselor · Bend, OR

NPI number 1376145672 Active

Practice location

2480 NE Twin Knolls Dr
Bend, OR 97701-6833

Call (541) 758-5900 Map

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376145672

Kendall Wallace's National Provider Identifier is 1376145672, issued on Nov 11, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bend, OR. The record was last updated on Nov 11, 2020.