Kimberly Locker
Counselor, Mental Health in Pendleton, OR. Individual provider (NPI-1).
NPI number1265891733
StatusActive
Last updated in NPPESFeb 12, 2016
Details
- NPI
- 1265891733
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Locker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2016
- Last updated
- Feb 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2575 Westgate Bldg 1Pendleton, OR 97801-9613
Phone 541-429-8721 · Fax 541-429-8720
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-215-2302
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