Individual provider · Type 1 NPI

Marcus Antonio Biancucci

Mental Health Counselor · Bend, OR

NPI number 1841465036 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Mailing address

63360 Britta St Ste 1
Bend, OR 97703-9475

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Mental Health Counselor 101YM0800XC2916 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1841465036

Marcus Antonio Biancucci's National Provider Identifier is 1841465036, issued on Apr 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Jan 19, 2024.