Individual
MS. ATSACHANH NONNARATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19302 SW MARSHMALLOW PL, BEND, OR 97702-5010
(409) 245-9777
Mailing address
1336 NW FLANDERS ST # 225, PORTLAND, OR 97209-2645
(409) 245-9777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8518
OR
Other
Enumeration date
01/04/2023
Last updated
11/21/2024
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