Individual provider · Type 1 NPI

Jeanette Small

Mental Health Counselor · Bend, OR

NPI number 1679435002 Active

Practice location

2634 NW Shields Dr Unit 2
Bend, OR 97703-5189

Call (805) 637-8582 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XR12074 (OR)
Professional Counselor 101YP2500XR12074 (OR)
Mental Health Counselor Primary 101YM0800XR12074 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1679435002

Jeanette Small's National Provider Identifier is 1679435002, issued on Nov 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Nov 24, 2025.