person
Summer Breeayn Ardianto
Mental Health Counselor in Mcminnville, Oregon
NPI 1972361996

Summer Breeayn Ardianto is a Mental Health Counselor based in Canby, OR and is specialized in Mental Health. Summer Breeayn Ardianto practices in Mcminnville, OR. The NPI Number for Summer Breeayn Ardianto is 1972361996 and holds a License No. (Oregon).

The current practice location address for Summer Breeayn Ardianto is 2274 Sw 2Nd St Ste D, Mcminnville, OR and can be reached out via phone at 503-372-5147 and via fax at 503-266-8632. You can also correspond with Summer Breeayn Ardianto through the mailing address at 113 N ELM ST, CANBY, OR - 97013-3519 (mailing address contact number: 503-263-8903).

Location: 2274 Sw 2Nd St Ste D, Mcminnville, OR, 97013-3519
person
Provider Profile Details
NPI Number
1972361996
Provider Name
Summer Breeayn Ardianto
Credential
Provider Entity Type
Individual
Gender
Female
Address
2274 Sw 2Nd St Ste D, Mcminnville, OR, 97013-3519
Phone Number
503-372-5147
Fax Number
503-266-8632
Provider Enumeration Date
03/13/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2274 Sw 2Nd St Ste D
City
State
Zip
97128-5597
Phone Number
503-372-5147
Fax Number
503-266-8632
person
Provider Business Mailing Address Details
Address
2274 Sw 2Nd St Ste D
City
State
Zip
97128-5597
Phone Number
503-372-5147
Fax Number
503-266-8632
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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