Individual
EMILY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5725 NE PRESCOTT ST, PORTLAND, OR 97218-2275
(503) 548-8050
(503) 249-9510
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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