Organization
WISDOM WITHIN WELLNESS LLC
Active
Other names
Kellyjoy Kanaley, LPC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLYJOY KANALEY LPC (MEMBER MANAGER/PRESIDENT)
(503) 473-2910
Entity
Organization
Contact information
Practice address
1235 SE DIVISION ST STE 205, PORTLAND, OR 97202-1000
(503) 473-2910
(844) 440-2129
Mailing address
3925 SE 62ND AVE, PORTLAND, OR 97206-3605
(503) 473-2910
(844) 440-2129
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
12/04/2023
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