Steven Michael Kelley, M.A., CADC, QMHP
Counselor, Addiction (Substance Use Disorder) in Portland, OR. Individual provider (NPI-1).
NPI number1154635183
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1154635183
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Michael Kelley
- Credential
- M.A., CADC, QMHP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2010
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 02-07-31 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | 20-QMHP-R-0444 | OR |
Practice location
14600 Nw Cornell RdPortland, OR 97229-5442
Phone 503-629-8517
Mailing address
14600 Nw Cornell RdPortland, OR 97229-5442
Phone 503-629-8517
Other practice locations
727 Ne 24th Ave
Portland, OR 97232-2222
Portland, OR 97232-2222
Phone 503-228-9229 · Fax 503-228-9558
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