Connie J Kersenbrock, LCSW

NPI #1639279318 in Bend, Oregon

Provider Information

NPI Number: 1639279318
Entity Type: Individual
Name: Connie J Kersenbrock, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: Sep 23, 2006
Last Updated: Jan 12, 2018

Practice Location

Address: 2330 NE DIVISION ST STE 9B
City: Bend
State: Oregon
ZIP Code: 97703-3530
Phone: (541) 323-5332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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