Individual provider · Type 1 NPI

Anastasia Kovgan

Mental Health Counselor · Portland, OR

NPI number 1124658703 Active

Practice location

8041 E Burnside St
Portland, OR 97215-1548

Call (503) 252-3304 Map

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124658703

Anastasia Kovgan's National Provider Identifier is 1124658703, issued on Jan 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2020.