Individual provider · Type 1 NPI

Kimberly Jane Christiansen, LPC, MA, CADC III

Professional Counselor · Portland, OR

NPI number 1477586600 Active

Practice location

4531 SE Belmont St, Suite 203
Portland, OR 97215-1675

Fax (503) 841-5816

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC2047 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X08-06-97 (OR)

Professional Counselor: Definition to come...

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About NPI 1477586600

Kimberly Jane Christiansen, LPC, MA, CADC III's National Provider Identifier is 1477586600, issued on Jul 9, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Apr 18, 2017.