Biancucci, Marcus Antonio

Biancucci, Marcus Antonio is an individual health care provider with primary practice located at 2577 Ne Courtney Dr , Bend OR 97701-7638. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Biancucci, Marcus Antonio can be contacted via phone (541) 322-7500.

Contact Information

Primary practice address
2577 Ne Courtney Dr Bend OR 97701-7638
Phone: (541) 322-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C2916 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1841465036
LBN Legal business name Biancucci, Marcus Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Jan 19th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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