Individual
CHAVA MENDELSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
(541) 888-8726
Mailing address
888 VERMONT ST APT 4H, NORTH BEND, OR 97459-3382
(541) 217-6840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
THW0947
OR
Other
Enumeration date
04/20/2016
Last updated
10/24/2018
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