Individual provider · Type 1 NPI

Sovann Dara Pen, L.P.C.

Professional Counselor · Portland, OR

NPI number 1598038127 Active

Practice location

12 SE 14th Ave, #104
Portland, OR 97214-1404

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC2800 (OR)

Professional Counselor: Definition to come...

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About NPI 1598038127

Sovann Dara Pen, L.P.C.'s National Provider Identifier is 1598038127, issued on Feb 13, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Feb 13, 2012.