Kay M Cockerill, QMHP-C
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1053882829
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1053882829
- Entity type
- Individual (NPI-1)
- Name
- Kay M Cockerill
- Credential
- QMHP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2018
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 19-QMHPC-00829 | OR | Yes |
Practice location
1310 Sw 17th AvePortland, OR 97201-2522
Phone 503-231-2641 · Fax 503-467-4077
Mailing address
211 Se Caruthers StPortland, OR 97214-4502
Phone 503-224-1044 · Fax 503-621-2235
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