Individual provider · Type 1 NPI

Kelly Elizabeth Edens, BS

Counselor · Tigard, OR

NPI number 1063008415 Active

Practice location

11860 SW Queen Elizabeth St
Tigard, OR 97224-2634

Call (503) 537-7588 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063008415

Kelly Elizabeth Edens, BS's National Provider Identifier is 1063008415, issued on Dec 18, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tigard, OR. The record was last updated on Dec 18, 2020.