Individual provider · Type 1 NPI

Monica Chan Kdep

Mental Health Counselor · Portland, OR

NPI number 1902302730 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 234-9591 Map

Mailing address

13727 SW Hazel St Apt 103
Beaverton, OR 97005-3786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1902302730

Monica Chan Kdep's National Provider Identifier is 1902302730, issued on Apr 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 2, 2018.