Organization · Type 2 NPI

Tiffany Kettermann, LLC

Mental Health Counselor · Portland, OR

NPI number 1003461740 Active

Practice location

2950 SE Stark St Ste 130
Portland, OR 97214-3082

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003461740

Tiffany Kettermann, LLC's National Provider Identifier is 1003461740, issued on Aug 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 25, 2025.