Individual provider · Type 1 NPI

P. Kelly Fitzpatrick, BA, NCAC II, QMHA

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1891008520 Active

Practice location

10570 SE Washington St, Suite 201
Portland, OR 97216-2846

Call (503) 933-2440 Map

Mailing address

PO Box 16756
Portland, OR 97292-0756

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X07-09-60 (OR)
Peer Specialist 175T00000X15-CRM-167 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891008520

P. Kelly Fitzpatrick, BA, NCAC II, QMHA's National Provider Identifier is 1891008520, issued on Jul 22, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Dec 14, 2016.