Individual provider · Type 1 NPI

Tiffany Kettermann, LPC, CADCI

Mental Health Counselor · Portland, OR

NPI number 1194067355 Active

Practice location

7415 N Oatman Ave
Portland, OR 97217-1213

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194067355

Tiffany Kettermann, LPC, CADCI's National Provider Identifier is 1194067355, issued on Mar 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2015.