Individual provider · Type 1 NPI

Kerrins Thomas Conroy Iii, NCC, LPC

Counselor · Portland, OR

NPI number 1073184784 Active

Practice location

1110 SE Alder St Ste 301
Portland, OR 97214-2400

Mailing address

2266 SE 110th Ave
Portland, OR 97216-3211

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 1073184784

Kerrins Thomas Conroy Iii, NCC, LPC's National Provider Identifier is 1073184784, issued on Jul 3, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Oct 17, 2024.