| Doctor Name: | MS. HANNELORE NA ONDRUSEK |
| NPI Number: | 1003019605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LPC |
| License Number: | C1477 |
| Business Practice Address: | 744 Nw 4th St Corvallis, OR - 973306415 |
| Business Phone Number: | 5419299219 |
| Business Fax Number: | 5419299219 |
| Mailing Address: | 744 Nw 4th St, CORVALLIS |
| State: | OR |
| Postal Code: | 973306415 |
| Phone Number: | 5419299219 |
| Fax Number: | 5419299219 |
| NPI Enumeration Date: | 06/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |