Individual provider · Type 1 NPI

Kyrai Ivy Ann Rose, PhD

Mental Health Counselor · Salem, OR

NPI number 1831704071 Active

Practice location

147 Commercial St NE
Salem, OR 97301-3416

Call (541) 204-6292 Map

Fax (541) 314-9444

Mailing address

1075 Moneda Ave N
Keizer, OR 97303-6256

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831704071

Kyrai Ivy Ann Rose, PhD's National Provider Identifier is 1831704071, issued on Sep 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Apr 25, 2025.