Individual provider · Type 1 NPI
Kimberly Stetson, MA, LPC INTERN, CADC
Mental Health Counselor · Portland, OR
NPI number
1629513320
Active
Practice location
8837 SE 13th Ave
Portland, OR 97202-7111
Other practice locations
- 2304 E Burnside St Ste 5, Portland, OR 97214-1677 · (971) 303-8650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18-04-13 (OR) |
| Mental Health Counselor Primary | 101YM0800X | R4625 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1629513320
Kimberly Stetson, MA, LPC INTERN, CADC's National Provider Identifier is 1629513320, issued on Jan 4, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 27, 2020.