Individual provider · Type 1 NPI

Summer Breeayn Ardianto

Mental Health Counselor · Mcminnville, OR

NPI number 1972361996 Active

Practice location

2274 SW 2nd St Ste D
Mcminnville, OR 97128-5597

Call (503) 372-5147 Map

Fax (503) 266-8632

Mailing address

113 N Elm St
Canby, OR 97013-3519

Other practice locations

  • 5289 NE Elam Young Pkwy Ste 140, Hillsboro, OR 97124-7551 · (503) 372-5147

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1972361996

Summer Breeayn Ardianto's National Provider Identifier is 1972361996, issued on Mar 13, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcminnville, OR. The record was last updated on Mar 13, 2024.