Individual provider · Type 1 NPI

Kevin Palmer Edenfield Jr.

Mental Health Counselor · Tigard, OR

NPI number 1407698145 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3740 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1407698145

Kevin Palmer Edenfield Jr.'s National Provider Identifier is 1407698145, issued on Jun 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jun 12, 2024.