Kevin Betancourt
Counselor, Mental Health in Milwaukie, OR. Individual provider (NPI-1).
NPI number1407200082
StatusActive
Last updated in NPPESJan 4, 2018
Details
- NPI
- 1407200082
- Entity type
- Individual (NPI-1)
- Name
- Kevin Betancourt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2016
- Last updated
- Jan 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2808 Se Balfour StMilwaukie, OR 97222-6426
Phone 503-659-2575 · Fax 503-659-5182
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170
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