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1174088934
JOHANNA MICHELLE HERSHENSON
BEND, OR
NPI
1174088934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-06
Last Update Date
2019-02-06
Business Address
JOHANNA MICHELLE HERSHENSON QMHP
1569 SW NANCY WAY
BEND, OR 97702-3234
Phone number: 541-617-0377
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Mailing Address
JOHANNA MICHELLE HERSHENSON QMHP
4880 SE CC DUNHAM RD
PRINEVILLE, OR 97754-9577
Phone number: 541-213-9880
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