Individual provider · Type 1 NPI

Kimberly Ann Medlock

Counselor · Bend, OR

NPI number 1750090130 Active

Practice location

2480 NE Twin Knolls Dr
Bend, OR 97701-6833

Mailing address

16187 Dawn Rd
La Pine, OR 97739-8842

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 1750090130

Kimberly Ann Medlock's National Provider Identifier is 1750090130, issued on Nov 15, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bend, OR. The record was last updated on Nov 15, 2022.