Provider Demographics
NPI:1194736264
Name:JUHASZ, JOSIE (MACP)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:
Last Name:JUHASZ
Suffix:
Gender:F
Credentials:MACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SW COLORADO AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1150
Mailing Address - Country:US
Mailing Address - Phone:541-325-3254
Mailing Address - Fax:541-728-0436
Practice Address - Street 1:15 SW COLORADO AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1150
Practice Address - Country:US
Practice Address - Phone:541-325-3254
Practice Address - Fax:541-728-0436
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1774101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional