Individual provider · Type 1 NPI

Jennifer Lynn Kelly, MA

Mental Health Counselor · Portland, OR

NPI number 1013243641 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Fax (503) 629-8517

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013243641

Jennifer Lynn Kelly, MA's National Provider Identifier is 1013243641, issued on Nov 2, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 2, 2009.