MEDICARE: FAMILY BEHAVIOR HEALTH NETWORK

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1992480172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY BEHAVIOR HEALTH NETWORK

Provider Business Mailing Address
First Line	:	939 LADD AVE
Second Line	:
City	:	JUNCTION CITY
State	:	OR
Zip	:	97448-8606
Country	:	US
Telephone Number	:	541-870-1756
Fax Number	:

Provider Business Practice Location Address
First Line	:	939 LADD AVE
Second Line	:
City	:	JUNCTION CITY
State	:	OR
Zip	:	97448-8606
Country	:	US
Telephone Number	:	541-870-1756
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	GUADALUPE GARDNER
Credential	:
Telephone Number	:	541-870-1756

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	06/16/2023

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Directions to “FAMILY BEHAVIOR HEALTH NETWORK ” Practice Location

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