Individual provider · Type 1 NPI

Jill Kelly

Professional Counselor · Portland, OR

NPI number 1396292652 Active

Practice location

1306 NW Hoyt St Ste 407
Portland, OR 97209-2787

Call (971) 407-3930 Map

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice locations

  • 4445 SW Barbur Blvd, Portland, OR 97239-4047 · (503) 768-6325

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC5967 (OR)

Professional Counselor: Definition to come...

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About NPI 1396292652

Jill Kelly's National Provider Identifier is 1396292652, issued on Sep 4, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Sep 10, 2024.