Individual
KRISTY LYNN HELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
5441 SE BELMONT ST, PORTLAND, OR 97215-1837
(503) 863-7900
Mailing address
3759 SE FRANKLIN ST, PORTLAND, OR 97202-1832
(503) 863-7900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
44973
CA
101YM0800X
Mental Health Counselor
44973
CA
101YP2500X
Professional Counselor
44973
CA
106H00000X
Marriage & Family Therapist
Primary
44973
CA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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