Individual
CLINTON E KITTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-9099
(541) 966-9830
(541) 240-8410
Mailing address
46314 TIMINE WAY, PENDLETON, OR 97801-9099
(541) 966-9830
(541) 240-8410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L6482
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500681449
—
OR
Enumeration date
07/29/2014
Last updated
04/15/2020
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