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Individual

KAEDE ALYXANDER SKYSEER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
10822 SE 82ND AVE, HAPPY VALLEY, OR 97086-7658
(503) 654-7444
(503) 654-0392
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/14/2022
Last updated
08/05/2024
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