Individual
ADAM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS/EDS, LPC, NCC
Contact information
Practice address
3500 NE MLK BLVD STE 200, PORTLAND, OR 97212-2093
(503) 327-8205
Mailing address
10840 RUSHING FLUME DR, RENO, NV 89521-6204
(503) 806-5195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61221488
WA
101YP2500X
Professional Counselor
A10098
NC
101YP2500X
Professional Counselor
Primary
C4888
OR
Other
Enumeration date
06/11/2013
Last updated
04/04/2024
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