Brian Cantoran

Individual provider Active NPI Mental Health Counselor · Creswell, OR

NPI 1730798802 · NPPES record last updated Jul 24, 2020

Key facts

NPI
1730798802
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
640 Meadow LN
Creswell, OR 97426-9783
Phone
(541) 954-7406
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

640 Meadow LN
Creswell, OR 97426-9783

Mailing address

640 Meadow LN
Creswell, OR 97426-9783

Other providers in Creswell, OR

All providers in Creswell, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.