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Organization
KELLE DEBRUIN COUNSELING, LLC
Active
Organization
KELLE DEBRUIN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE LEA NELSON-DEBRUIN LMFT (THERAPIST/OWNER)
(503) 778-0787
Entity
Organization
Contact information
Practice address
7320 SW HUNZIKER RD STE 201, TIGARD, OR 97223-2301
(503) 778-0787
(503) 296-2938
Mailing address
1300 JOHN ADAMS ST # 111, OREGON CITY, OR 97045-1695
(503) 778-0787
(503) 296-2938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500774617
—
OR
Enumeration date
03/04/2022
Last updated
09/29/2023
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