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Organization
RADIANT LEAF COUNSELING
Active
Organization
RADIANT LEAF COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATSACHANH NONNARATH (COUNSELOR)
(503) 459-3747
Entity
Organization
Contact information
Practice address
19302 SW MARSHMALLOW PL, BEND, OR 97702-5010
(503) 459-3747
Mailing address
1336 NW FLANDERS ST # 225, PORTLAND, OR 97209-2645
(503) 459-3747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
11/21/2024
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