Individual
KATELYN BLANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756-2558
(541) 923-2654
Mailing address
5168 SE 12TH WAY, GRESHAM, OR 97080-2938
(307) 690-4701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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