Individual
PRISCILLA KLOCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
712 SE HAWTHORNE BLVD, SUITE 100, PORTLAND, OR 97214-3538
(503) 954-2188
(503) 327-8005
Mailing address
712 SE HAWTHORNE BLVD, SUITE 100, PORTLAND, OR 97214-3538
(503) 954-2188
(503) 327-8005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OR
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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