Individual
IAEL KIEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6011 NE OREGON ST, PORTLAND, OR 97213-4300
(971) 252-7221
Mailing address
1627 9TH ST, BERKELEY, CA 94710-1814
(617) 504-7899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T2304
OR
Other
Enumeration date
08/02/2019
Last updated
10/16/2024
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