Most Relevant Information
Provider Data
| NPI Number: | 1003019605 |
| Provider Name: | HANNELORE NA ONDRUSEK M.S., LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | C1477 |
Most Important Dates
| Enumeration Date: | 06/09/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
744 NW 4TH ST
CORVALLIS
OR
973306415
Practice Location Phone/Fax
| Phone: | 5419299219 |
| Fax: | 5419299219 |
Provider Mailing Location
744 NW 4TH ST
CORVALLIS
OR
973306415
Provider Mailing Phone/Fax
| Phone: | 5419299219 |
| Fax: | 5419299219 |