Individual
MS. ROBIN KELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CAGS,LPC,LMHC
Contact information
Practice address
4531 SE BELMONT ST STE 204, PORTLAND, OR 97215-1675
(978) 394-0880
Mailing address
4531 SE BELMONT ST STE 204, PORTLAND, OR 97215-1675
(978) 394-0880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60582281
WA
101YM0800X
Mental Health Counselor
LMHC6588
MA
101YP2500X
Professional Counselor
Primary
C3166
OR
Other
Enumeration date
12/06/2006
Last updated
12/06/2024
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