Individual provider · Type 1 NPI

Mary Kuckendall, BS PSYCHOLOGY

Mental Health Counselor · Jasper, OR

NPI number 1982861886 Active

Practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Call (541) 747-1235 Map

Fax (541) 747-4722

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982861886

Mary Kuckendall, BS PSYCHOLOGY's National Provider Identifier is 1982861886, issued on May 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jasper, OR. The record was last updated on May 19, 2008.