Individual provider · Type 1 NPI

Kelly Ann Mottice, COUNS

Mental Health Counselor · North Bend, OR

NPI number 1306000401 Active

Practice location

1975 Mcpherson St, Ste. 2
North Bend, OR 97459-3482

Fax (541) 756-8982

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306000401

Kelly Ann Mottice, COUNS's National Provider Identifier is 1306000401, issued on Jul 17, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Bend, OR. The record was last updated on Jul 17, 2008.