Provider Demographics
NPI:1407075807
Name:NESS, LAURA CHRISTINE (BA, MA MFT)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:CHRISTINE
Last Name:NESS
Suffix:
Gender:F
Credentials:BA, MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19477 IRONWOOD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702
Mailing Address - Country:US
Mailing Address - Phone:323-509-8036
Mailing Address - Fax:
Practice Address - Street 1:365 N.E. COURT STREET
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754
Practice Address - Country:US
Practice Address - Phone:541-447-7441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist