Provider Demographics
NPI:1528278702
Name:LAI, CHIEN (LPC)
Entity type:Individual
Prefix:MR
First Name:CHIEN
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:TONY
Other - Middle Name:C
Other - Last Name:LAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 411
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-0411
Mailing Address - Country:US
Mailing Address - Phone:503-434-7462
Mailing Address - Fax:503-434-7335
Practice Address - Street 1:420 NE 5TH ST
Practice Address - Street 2:YAMHILL COUNTY FAMILY AND YOUTH PROGRAMS
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4603
Practice Address - Country:US
Practice Address - Phone:503-434-7462
Practice Address - Fax:503-434-7335
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1718101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional