Individual
MR. KEVIN J ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Mailing address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(360) 798-0868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3942
OR
Other
Enumeration date
08/11/2008
Last updated
01/15/2024
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