Individual provider · Type 1 NPI

Kimberly M. Crow

Professional Counselor · Portland, OR

NPI number 1710355755 Active

Practice location

6018 SE Stark St
Portland, OR 97215-1990

Mailing address

2314 SE Ash St
Portland, OR 97214-1634

Other practice locations

  • 200 SE 7th Ave, Portland, OR 97214-1200 · (503) 235-0131

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X16-06-08 (OR)
Mental Health Counselor 101YM0800XC5099 (OR)
Professional Counselor Primary 101YP2500XC5099 (OR)

Professional Counselor: Definition to come...

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About NPI 1710355755

Kimberly M. Crow's National Provider Identifier is 1710355755, issued on Sep 8, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Dec 28, 2018.