BREYA CHANTARABUNCHORN


Address: 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173
Phone: 3605664432

BREYA CHANTARABUNCHORN (NPI# 1235494477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235494477
Entity Type Individual
Full Name BREYA CHANTARABUNCHORN
Practice Address 5501 Ne 109th Ct Ste A1
Vancouver
WA 98662-6173
Mailing Address 14150 Sw Teal Blvd
Apt 31h
Beaverton
OR 97008-9364
Practice Telephone 3605664432
Mailing Telephone 5415215339
Enumeration Date 2012-07-12
Last Update Date 2019-07-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3737 Portland Rd Ne, Salem, OR 973010311 5033835235

Office Location

Street Address 5501 NE 109TH CT STE A1
City VANCOUVER
State WA
Zip Code 98662-6173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437713864 Sea Mar Community Health Center Clinic/Center 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 2019-05-01
1134682115 Sea - Mar Community Health Center Clinic/Center 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 2019-04-08
1780146670 Maribel Yadira Garza Case Manager/Care Coordinator 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 2019-04-01
1558829457 Johnathan Samuel Detwiler Counselor 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 2019-03-10
1427509017 Marguerite Mccormack Counselor 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 2016-10-18
1669869442 Lynette Ramirez Counselor 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 2015-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861024911 Hillary Ann Devore Behavior Technician 9414 Ne Fouth Plain Road, Vancouver, WA 98662 2020-02-06
1073091781 Jessica Edit Villasenor Social Worker 9800 Ne Oakview Dr, Vancouver, WA 98662 2018-08-03
1568991123 Preferred Rx Pharmacy Inc Pharmacy 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 2017-06-07
1982058814 Nw Interventional Medicine and Orthopedic Rehab Pllc Physician Assistant 11802 Ne 65th St., Vancouver, WA 98662 2016-04-18
1942685664 Silpa Nekkalapudi Dentist 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 2015-07-23
1528468261 Lidiya Chepa Pharmacist 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 2014-08-29
1962827030 Vanessa Wulff Chiropractor 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 2014-02-26
1326484080 Precious Jewel Adult Family Home Custodial Care Facility 9707 Ne 115th Ct, Vancouver, WA 98662 2013-05-21
1457698466 Elise C Jones Counselor 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 2013-01-10
1396096103 At Home Sleep Solutions Clinic/Center 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 2012-09-20
Find all providers in zip 98662

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548735095 Meghann Smith Marriage & Family Therapist 12800 Ne 4th St Apt 23, Vancouver, WA 98684-5095 2018-10-11
1033576285 Joshua Michael Schnellbach Marriage & Family Therapist 11801 Ne 65th St Ste A, Vancouver, WA 98662-5527 2016-01-19
1225403454 Refresh Therapy, Inc Marriage & Family Therapist 1319 Ne 134th St # 111, Vancouver, WA 98685-2717 2015-12-14
1821472606 Denise Burningham Marriage & Family Therapist 4601 E 18th St Apt 167, Vancouver, WA 98661-6251 2015-07-12
1174954911 Susan Louise Kelsay Marriage & Family Therapist 201 Se 124th Ave., #203, Vancouver, WA 98684 2013-12-04
1659713444 Integrity Counseling Marriage & Family Therapist 201 Se 124th Ave Ste 203, Vancouver, WA 98684-6067 2013-07-23
1376880518 Ezra Kilfoil Marriage & Family Therapist 1104 Main St Ste 440, Vancouver, WA 98660-2955 2013-01-08
1790034627 Clark County Juvenile Court Marriage & Family Therapist 500 W 11th Street, Vancouver, WA 98660 2012-09-06
1033483391 Therapeutic Change Marriage & Family Therapist 3305 Main St Ste 24, Vancouver, WA 98663-2234 2012-03-05
1023394509 Lacey Meehan Marriage & Family Therapist 10000 Ne 7th Ave Ste 410, Vancouver, WA 98685-4548 2011-10-27
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98662

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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