Individual provider · Type 1 NPI

Mia Reese Vanderver

Mental Health Counselor · Bend, OR

NPI number 1942138656 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7752

Fax (541) 322-7565

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942138656

Mia Reese Vanderver's National Provider Identifier is 1942138656, issued on May 12, 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 May 12, 2026.