Individual provider · Type 1 NPI

Kelly A. Burgess

Mental Health Counselor · Portland, OR

NPI number 1245582196 Active

Practice location

847 NE 19th Ave, Suite 1000
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245582196

Kelly A. Burgess's National Provider Identifier is 1245582196, issued on Oct 2, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 11, 2016.