Individual provider · Type 1 NPI

Diana Christine Ferington Kelly, PWS CRM

Mental Health Counselor · Tigard, OR

NPI number 1215774716 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3740 Map

Mailing address

14761 SW Beard Rd Unit 202
Beaverton, OR 97007-8137

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X111529 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1215774716

Diana Christine Ferington Kelly, PWS CRM's National Provider Identifier is 1215774716, issued on Jul 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Sep 25, 2024.