Individual provider · Type 1 NPI

Colleen M. Kelly, LPC

Professional Counselor · Portland, OR

NPI number 1720117674 Active

Practice location

537 SE Alder St
Portland, OR 97214-2231

Fax (503) 972-9636

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC1691 (OR)

Professional Counselor: Definition to come...

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About NPI 1720117674

Colleen M. Kelly, LPC's National Provider Identifier is 1720117674, issued on Mar 5, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Sep 19, 2014.