Individual provider · Type 1 NPI

Katelyn Russell-Atchley, QMHA

Mental Health Counselor · Dallas, OR

NPI number 1053035378 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1922

Mailing address

350 SE Hawthorne Ave
Dallas, OR 97338-1718

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053035378

Katelyn Russell-Atchley, QMHA's National Provider Identifier is 1053035378, issued on Sep 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Jul 30, 2026.