Kirsten Kelly-Chambers
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1174913636
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1174913636
- Entity type
- Individual (NPI-1)
- Name
- Kirsten Kelly-Chambers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2015
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
4310 Ne Killinsworth StreetPortland, OR 97218
Phone 503-535-1150
Mailing address
3415 Se Powell BlvdPortland, OR 97202-3371
Phone 971-334-2009
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