Individual provider · Type 1 NPI

Kay M. Cockerill, QMHP-C

Mental Health Counselor · Portland, OR

NPI number 1053882829 Active

Practice location

1310 SW 17th Ave
Portland, OR 97201-2522

Call (503) 231-2641 Map

Fax (503) 467-4077

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X19-QMHPC-00829 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1053882829

Kay M. Cockerill, QMHP-C's National Provider Identifier is 1053882829, issued on Dec 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 8, 2025.