Individual provider · Type 1 NPI

Kenneth Matthew Libby

Mental Health Counselor · Portland, OR

NPI number 1851059323 Active

Practice location

9450 SW Barnes Rd
Portland, OR 97225-6619

Mailing address

12900 SW Crescent St Apt 501
Beaverton, OR 97005-1790

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1851059323

Kenneth Matthew Libby's National Provider Identifier is 1851059323, issued on Dec 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2021.