Individual provider · Type 1 NPI

Kaitlyn Wilson

Mental Health Counselor · Portland, OR

NPI number 1144916883 Active

Practice location

2950 SE Stark St Ste 130
Portland, OR 97214-3082

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR8286 (OR)

Mental Health Counselor: Definition to come...

15 other providers at this address

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About NPI 1144916883

Kaitlyn Wilson's National Provider Identifier is 1144916883, issued on Apr 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 14, 2023.