Lori Lee Chancellor
Individual provider Active NPI Mental Health Counselor · Camas, WA
NPI 1104524602 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1104524602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3400 SE 196TH Ave Ste 102
Camas, WA 98607-8862 - Phone
- (360) 975-0512
- Fax
- (360) 693-2045
- NPI assigned
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacamas Counseling LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3400 SE 196TH Ave Ste 102
Camas, WA 98607-8862
Mailing address
PO Box 481
Sandy, OR 97055-0481
Phone (503) 880-8510
Other providers in Camas, WA
- Allyssa Casad
- Ami Casey
- CD Camas SE (Dba Comfort Dental Camas)
- Mignon B Cejalvo
- Marissa L Chacaj-Solis
- Dana Lee Chapman
- Rachel Char
- Chelsea a. Giles LMP
- Liang-Yu Chen
- Deborah Moore Childress
All providers in Camas, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.