Individual provider · Type 1 NPI

Kellie Cleaver

Professional Counselor · Dallas, OR

NPI number 1720646706 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Call (503) 623-9289 Map

Mailing address

643 NW 10th St
Corvallis, OR 97330-6111

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC7151 (OR)

Professional Counselor: Definition to come...

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About NPI 1720646706

Kellie Cleaver's National Provider Identifier is 1720646706, issued on Jun 4, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, OR. The record was last updated on Nov 27, 2024.