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NPI Code Detail

MEDICARE: CORINNE FLORENCE JOHNS QMHP

MEDICARE: CORINNE FLORENCE JOHNS QMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1780225508
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE FLORENCE JOHNS QMHP
Provider Business Mailing Address
First Line : 2480 NE TWIN KNOLLS DR
Second Line :
City : BEND
State : OR
Zip : 97701-6833
Country : US
Telephone Number : 541-758-5900
Fax Number :
Provider Business Practice Location Address
First Line : 2480 NE TWIN KNOLLS DR
Second Line :
City : BEND
State : OR
Zip : 97701-6833
Country : US
Telephone Number : 541-758-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2019
Last Update Date : 05/23/2022

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Directions to “ CORINNE FLORENCE JOHNS QMHP” Practice Location

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