Individual
MICKI BACHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
529 NW 4TH ST, CORVALLIS, OR 97330
(503) 936-6163
(541) 636-2452
Mailing address
5060 SW PHILOMATH BLVD # 218, CORVALLIS, OR 97333
(503) 936-6163
(541) 636-2452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-11-03
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
C2328
OR
101YP2500X
Professional Counselor
C5837
OR
101YP2500X
Professional Counselor
Primary
LPCC5837
OR
Other
Enumeration date
02/09/2010
Last updated
02/22/2024
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