SUMMER BREEAYN ARDIANTO

MCMINNVILLE, OR
NPI1972361996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-03-13
Last Update Date2024-03-13
Business Address
SUMMER BREEAYN ARDIANTO
2274 SW 2ND ST STE D
MCMINNVILLE, OR 97128-5597
Phone number: 503-372-5147
Mailing Address
SUMMER BREEAYN ARDIANTO
113 N ELM ST
CANBY, OR 97013-3519
Phone number: 503-263-8903