# PNW TRAUMA COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225643034
- **Authorized official:** SUCI ANDREA SONNIER LCSW (OWNER)
- **Authorized official phone:** (541) 275-5386

## Contact information

- **Practice address:** 750 CHARBONNEAU STE 204, BEND, OR 97703-7047
- **Practice address phone:** (541) 275-5386
- **Practice address fax:** (541) 229-1311
- **Mailing address:** 61141 S HWY 97 STE 422, BEND, OR 97702-2523
- **Mailing address phone:** (541) 275-5386
- **Mailing address fax:** (541) 229-1311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2020
- **Last updated:** 12/22/2020