Patricia Ivie, LPC
Counselor, Professional in Bend, OR. Individual provider (NPI-1).
NPI number1164032389
StatusActive
Last updated in NPPESMar 22, 2024
Details
- NPI
- 1164032389
- Entity type
- Individual (NPI-1)
- Name
- Patricia Ivie
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Mar 22, 2024
- Last updated
- Mar 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C7982 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Trish Ivie (Other Name)
Practice location
2480 Ne Twin Knolls DrBend, OR 97701-6833
Phone 503-234-9591
Mailing address
3415 Se Powell BlvdPortland, OR 97202-3371
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