Individual provider · Type 1 NPI

Vaishnavi Kachamgottu

Mental Health Counselor · Moore, OK

NPI number 1386479293 Active

Practice location

620 NW 5th St Ste D
Moore, OK 73160-3947

Fax (405) 208-4472

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386479293

Vaishnavi Kachamgottu's National Provider Identifier is 1386479293, issued on Sep 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moore, OK. The record was last updated on Sep 3, 2024.