Mustang Magic Equine Therapy Services, LLC

NPI #1619712148 in Bend, Oregon

Provider Information

NPI Number: 1619712148
Entity Type: Organization
Organization Name: Mustang Magic Equine Therapy Services, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 26, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 62239 POWELL BUTTE HWY
City: Bend
State: Oregon
ZIP Code: 97701-9355
Phone: (541) 204-1079

Authorized Official

Name: ANNETTE PELLETIER, LCSW
Title: OWNER/CLINICIAN
Phone: (541) 204-1079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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