Individual provider · Type 1 NPI

Mama Tout Puissant

Mental Health Counselor · Bend, OR

NPI number 1902294176 Active

Practice location

63311 Jamison St
Bend, OR 97703-8288

Mailing address

4158 SW Darien St
Port St. Lucie, FL 34953-6107

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902294176

Mama Tout Puissant's National Provider Identifier is 1902294176, issued on Dec 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on May 30, 2024.