Individual
KELLY LAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CMHC
Contact information
Practice address
1991 NW PRICKLY PEAR DR, HERMISTON, OR 97838-1019
(503) 662-7577
(971) 925-4850
Mailing address
1991 NW PRICKLY PEAR DR, HERMISTON, OR 97838-1019
(503) 662-7577
(971) 925-4850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R5137
OR
101YP2500X
Professional Counselor
Primary
R5137
OR
Other
Enumeration date
10/28/2019
Last updated
12/14/2021
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