Individual provider · Type 1 NPI

Kowan Hacker

Counselor · Coos Bay, OR

NPI number 1760043707 Active

Practice location

2020 Thompson Rd
Coos Bay, OR 97420-2041

Call (541) 267-3511 Map

Fax (541) 267-3512

Mailing address

1750 Nebraska Ave
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1760043707

Kowan Hacker's National Provider Identifier is 1760043707, issued on Jun 20, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Coos Bay, OR. The record was last updated on Jun 20, 2019.