Radiant Leaf Counseling | |
19302 Sw Marshmallow Pl Bend OR 97702-5010 | |
(503) 459-3747 | |
Not Available |
Full Name | Radiant Leaf Counseling |
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Speciality | Counselor - Mental Health |
Location | 19302 Sw Marshmallow Pl, Bend, Oregon |
Authorized Official Name and Position | Atsachanh Nonnarath (COUNSELOR) |
Authorized Official Contact | 5034593747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Radiant Leaf Counseling 1336 Nw Flanders St # 225 Portland OR 97209-2645 Ph: (503) 459-3747 | Radiant Leaf Counseling 19302 Sw Marshmallow Pl Bend OR 97702-5010 Ph: (503) 459-3747 |
NPI Number | 1033800586 |
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Provider Enumeration Date | 05/16/2023 |
Last Update Date | 11/21/2024 |
Certification Date | 11/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033800586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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