Individual
CHANTEL RENAE BROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
60997 LUTTRELL LN, SAINT HELENS, OR 97051-9126
(503) 397-5211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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