Individual provider · Type 1 NPI
Atsachanh Nonnarath
Mental Health Counselor · Bend, OR
NPI number
1316650443
Active · reactivated Aug 31, 2023
Practice location
19302 SW Marshmallow Pl
Bend, OR 97702-5010
Mailing address
1336 NW Flanders St # 225
Portland, OR 97209-2645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R8518 (OR) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1316650443
Atsachanh Nonnarath's National Provider Identifier is 1316650443, issued on Jan 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Nov 21, 2024.