Individual provider · Type 1 NPI

Kimberly Stovall

Mental Health Counselor · Bend, OR

NPI number 1750220869 Active

Practice location

63311 Jamison St
Bend, OR 97703-8288

Call (541) 322-7500 Map

Fax (541) 322-7565

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Other practice locations

  • 2298 Young Ave # 1200, Memphis, TN 38104-5755 · (901) 395-3418

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750220869

Kimberly Stovall's National Provider Identifier is 1750220869, issued on Mar 25, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Apr 30, 2026.