Individual
KYLEE JAYE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
14120 SW BARROWS RD UNIT 2, TIGARD, OR 97223-5744
(503) 567-9437
Mailing address
14120 SW BARROWS RD UNIT 2, TIGARD, OR 97223-5744
(503) 347-0414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C6869
OR
Other
Enumeration date
01/06/2015
Last updated
12/18/2022
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