James G.K. Ku
Counselor, Mental Health in Bend, OR. Individual provider (NPI-1).
NPI number1982806303
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1982806303
- Entity type
- Individual (NPI-1)
- Name
- Mr. James G.K. Ku
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2007
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | OR | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
1646 Ne Edgecliff CirBend, OR 97701-4159
Phone 541-728-0465 · Fax 541-728-0726
Mailing address
1646 Ne Edgecliff CirBend, OR 97701-4159
Phone 541-728-0465 · Fax 541-728-0726
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