Individual provider · Type 1 NPI

Bethany Ann Douglas, MS, LPC, NCC

Professional Counselor · Bend, OR

NPI number 1629349824 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC5250 (OR)
Mental Health Counselor 101YM0800XNone listed

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About NPI 1629349824

Bethany Ann Douglas, MS, LPC, NCC's National Provider Identifier is 1629349824, issued on Jan 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Mar 5, 2020.