Individual provider · Type 1 NPI

Kellie Ward, MS, LPC INTERN

Counselor · Roseburg, OR

NPI number 1104408871 Active

Practice location

272 NW Medical Loop Ste
Roseburg, OR 97471-5597

Call (541) 900-4285 Map

Fax (888) 810-2993

Mailing address

1757 Schoolhouse Ct NW
Salem, OR 97304-3292

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XR6803 (OR)

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 1104408871

Kellie Ward, MS, LPC INTERN's National Provider Identifier is 1104408871, issued on Apr 22, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Roseburg, OR. The record was last updated on Apr 22, 2021.