Individual
KRISTEN LEE CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 205-5043
Mailing address
2421 WASHBURN WAY STE K, KLAMATH FALLS, OR 97603-4531
(541) 281-9692
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
07/08/2021
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