Individual provider · Type 1 NPI
Kelly Theresa Hall
Mental Health Counselor · Portland, OR
NPI number
1891058822
Active
Practice location
3415 SE Powell Blvd
Portland, OR 97202
Mailing address
2831 NW Birkendene St
Portland, OR 97229-8081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1891058822
Kelly Theresa Hall's National Provider Identifier is 1891058822, issued on Jun 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 25, 2012.