Individual provider · Type 1 NPI

Kathleen Reilly

Mental Health Counselor · Milwaukie, OR

NPI number 1104808666 Active

Practice location

13850 SE Autumn Ridge Ter
Milwaukie, OR 97267-2150

Fax (503) 974-9586

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104808666

Kathleen Reilly's National Provider Identifier is 1104808666, issued on Nov 18, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 21, 2021.