Individual
BRENTON DEAN KAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., MFT
Contact information
Practice address
4422 NE DEVILS LAKE BLVD, SUITE 2, LINCOLN CITY, OR 97367-5000
(541) 265-4196
(541) 994-1882
Mailing address
418 PLEASANT AVE, ASTORIA, OR 97103-5730
(503) 325-5731
(503) 325-5731
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
17890
CA
106H00000X
Marriage & Family Therapist
T0501
OR
Other
Enumeration date
06/22/2007
Last updated
07/18/2024
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