Individual provider · Type 1 NPI
Kerry Samuel Goldstein, M.A.
Mental Health Counselor · Portland, OR
NPI number
1245493626
Active
Practice location
320 SW Stark St Ste 402
Portland, OR 97204-2626
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 1245493626
Kerry Samuel Goldstein, M.A.'s National Provider Identifier is 1245493626, issued on Jul 7, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2009.