Individual provider · Type 1 NPI

Jacey Ellen Riedl, LPC-INTERN

Professional Counselor · Bend, OR

NPI number 1568035525 Active

Practice location

Blissful Heart Wellness Center, 29 NW Greeley Avenue
Bend, OR 97703-5414

Call (303) 868-5241 Map

Mailing address

2145 NW Twilight Dr
Bend, OR 97703-5414

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XR6395 (OR)
Professional Counselor Primary 101YP2500XC7786 (OR)

Professional Counselor: Definition to come...

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About NPI 1568035525

Jacey Ellen Riedl, LPC-INTERN's National Provider Identifier is 1568035525, issued on Jul 19, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Dec 1, 2023.