Individual provider · Type 1 NPI
Kathleen E. Mayberry, ED.M.
Professional Counselor · Williams, OR
NPI number
1083798565
Active
Practice location
1015 Panther Gulch Rd
Williams, OR 97544-9709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | C7447 (OR) |
| Professional Counselor Primary | 101YP2500X | 440 (CO) |
Professional Counselor: Definition to come...
About NPI 1083798565
Kathleen E. Mayberry, ED.M.'s National Provider Identifier is 1083798565, issued on Oct 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Williams, OR. The record was last updated on Sep 13, 2023.