Individual provider · Type 1 NPI
Kyira Wackett, MS, LPC
Professional Counselor · Milwaukie, OR
NPI number
1366966012
Active
Practice location
2115 SE Adams St Ste B
Milwaukie, OR 97222
Mailing address
8027 SE 49th Ave
Portland, OR 97206-0824
Other practice locations
- 6402 Odana Rd, Madison, WI 53719-1123 · (608) 205-4450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C5188 (OR) |
Professional Counselor: Definition to come...
2 other providers at this address
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- Justina Anne Dudley, LPCProfessional Counselor Milwaukie, OR NPI 1215536750
- Kevin Leigh Wright, MSProfessional Counselor Milwaukie, OR NPI 1235374802
- Casey Marlar, MA, LPCProfessional Counselor Milwaukie, OR NPI 1245694389
- Bliss Wenker Boutin, MAProfessional Counselor Milwaukie, OR NPI 1275209868
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About NPI 1366966012
Kyira Wackett, MS, LPC's National Provider Identifier is 1366966012, issued on Aug 2, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukie, OR. The record was last updated on Feb 12, 2019.