Individual provider · Type 1 NPI
Terek Kanso, PSY.D., LPC
Professional Counselor · Portland, OR
NPI number
1669962536
Active
Practice location
10127 SW 59th Pl
Portland, OR 97219-5708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C4721 (OR) |
Professional Counselor: Definition to come...
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About NPI 1669962536
Terek Kanso, PSY.D., LPC's National Provider Identifier is 1669962536, issued on May 15, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on May 15, 2018.