Individual provider · Type 1 NPI

Kiley Nettesheim

Mental Health Counselor · Mulino, OR

NPI number 1770415648 Active

Practice location

15383 S Graves Rd
Mulino, OR 97042-9789

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770415648

Kiley Nettesheim's National Provider Identifier is 1770415648, issued on Jun 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mulino, OR. The record was last updated on Jun 2, 2026.