Individual provider · Type 1 NPI
Victoria Kelley
Mental Health Counselor · Portland, OR
NPI number
1124773965
Active
Practice location
1508 SW 13th Ave # 97210
Portland, OR 97201-3312
Fax (503) 726-3809
Mailing address
8915 SW Center St
Tigard, OR 97223-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124773965
Victoria Kelley's National Provider Identifier is 1124773965, issued on Feb 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 21, 2022.