Individual provider · Type 1 NPI

Candiss Vanna Ray June Monagon

Mental Health Counselor · Tigard, OR

NPI number 1609120609 Active

Practice location

8915 SW Center St.
Tigard, OR 97223

Call (503) 901-3375 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609120609

Candiss Vanna Ray June Monagon's National Provider Identifier is 1609120609, issued on Oct 30, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Oct 30, 2012.