Individual provider · Type 1 NPI

Kellie Supriano, M.S.

Professional Counselor · Portland, OR

NPI number 1154662807 Active

Practice location

2931 NE Broadway St
Portland, OR 97232-1760

Call (503) 939-9482 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC3491 (OR)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1154662807

Kellie Supriano, M.S.'s National Provider Identifier is 1154662807, issued on Mar 5, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jul 9, 2024.