BREYA CHANTARABUNCHORN (NPI# 1235494477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3737 Portland Rd Ne, Salem, OR 973010311 | 5033835235 |
| Street Address |
5501 NE 109TH CT STE A1 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6173 |
| 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 |
| 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 Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| 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 | ||||
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| 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.