Individual provider · Type 1 NPI

Kelly Hooper

Mental Health Counselor · Portland, OR

NPI number 1356783104 Active

Practice location

12511 SE Raymond St
Portland, OR 97236-3931

Fax (503) 761-2584

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356783104

Kelly Hooper's National Provider Identifier is 1356783104, issued on Jul 22, 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 Apr 24, 2019.