Individual
MS. KIVA MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W., QMHP
Contact information
Practice address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
(541) 747-4722
Mailing address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
(541) 747-4722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1547
OR
Other
Enumeration date
08/01/2007
Last updated
04/05/2017
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