Individual
MS. KIMBERLY JANE CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MA, CADC III
Contact information
Practice address
4531 SE BELMONT ST, SUITE 203, PORTLAND, OR 97215-1675
(971) 678-7581
(503) 841-5816
Mailing address
4531 SE BELMONT ST, SUITE 203, PORTLAND, OR 97215-1675
(971) 678-7581
(503) 841-5816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-06-97
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2047
OR
Other
Enumeration date
07/09/2006
Last updated
04/18/2017
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