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Kaitlyn Willcuts

Case Manager/Care Coordinator in McMinnville, OR. Individual provider (NPI-1).

NPI number1457081069
StatusActive
Last updated in NPPESJan 30, 2024

Details

NPI
1457081069
Entity type
Individual (NPI-1)
Name
Kaitlyn Willcuts
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 15, 2022
Certification date
Jan 30, 2024
Last updated
Jan 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101Y00000X Counselor––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

420 Ne 5th St
McMinnville, OR 97128-4603

Phone 408-334-8901

Mailing address

420 Ne 5th St
McMinnville, OR 97128-4603

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