Individual provider · Type 1 NPI

Kelly Everett

Addiction (Substance Use Disorder) Counselor · Beaverton, OR

NPI number 1972136638 Active

Practice location

8196 SW Hall Blvd Ste 230
Beaverton, OR 97008-6401

Fax (503) 641-5179

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972136638

Kelly Everett's National Provider Identifier is 1972136638, issued on Feb 20, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaverton, OR. The record was last updated on Jan 26, 2024.