Individual provider · Type 1 NPI

Kylie Goss-Dedrickson

Counselor · Portland, OR

NPI number 1740748409 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1740748409

Kylie Goss-Dedrickson's National Provider Identifier is 1740748409, issued on Mar 12, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Mar 12, 2019.