Individual provider · Type 1 NPI

Nicole H. Kennelly

Mental Health Counselor · Tigard, OR

NPI number 1841031440 Active

Practice location

6975 SW Sandburg St Ste 100
Tigard, OR 97223-8078

Call (971) 361-6834 Map

Mailing address

8527 NW Ogden St
Portland, OR 97231-1207

Other practice locations

  • 10580 SW Mcdonald St, Tigard, OR 97224-4867 · (971) 242-4155

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1841031440

Nicole H. Kennelly's National Provider Identifier is 1841031440, issued on Jun 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jul 16, 2025.