person
Nicole Lorraine Bongard
Mental Health Counselor in Portland, Oregon
NPI 1972224699

Nicole Lorraine Bongard is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Nicole Lorraine Bongard practices in Portland, OR. The NPI Number for Nicole Lorraine Bongard is 1972224699 and holds a License No. (Oregon).

The current practice location address for Nicole Lorraine Bongard is 805 Se 151St Ave, Portland, OR and can be reached out via phone at 971-271-7270.

Location: 805 Se 151St Ave, Portland, OR, 97233-2916
person
Provider Profile Details
NPI Number
1972224699
Provider Name
Nicole Lorraine Bongard
Credential
Provider Entity Type
Individual
Gender
Female
Address
805 Se 151St Ave, Portland, OR, 97233-2916
Phone Number
971-271-7270
Fax Number
Provider Enumeration Date
09/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
805 Se 151St Ave
City
State
Zip
97233-2916
Phone Number
971-271-7270
Fax Number
person
Provider Business Mailing Address Details
Address
805 Se 151St Ave
City
State
Zip
97233-2916
Phone Number
971-271-7270
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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