Individual provider · Type 1 NPI

Kieran Braddock

Mental Health Counselor · Jasper, OR

NPI number 1891440434 Active

Practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Mailing address

1985 Tabor St
Eugene, OR 97401-6539

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891440434

Kieran Braddock's National Provider Identifier is 1891440434, issued on Feb 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jasper, OR. The record was last updated on Feb 12, 2022.