Individual provider · Type 1 NPI

Keli Mikal Cannon

Mental Health Counselor · Portland, OR

NPI number 1508232356 Active

Practice location

11035 NE Sandy Blvd
Portland, OR 97220-2553

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1508232356

Keli Mikal Cannon's National Provider Identifier is 1508232356, issued on Aug 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2021.