Jennifer Lynn Kelly, MA
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1013243641
StatusActive
Last updated in NPPESNov 2, 2009
Details
- NPI
- 1013243641
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Kelly
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2009
- Last updated
- Nov 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
14600 Nw Cornell RdPortland, OR 97229-5442
Phone 503-645-3581 · Fax 503-629-8517
Mailing address
14600 Nw Cornell RdPortland, OR 97229-5442
Phone 503-645-3581 · Fax 503-629-8517
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