Individual
BROOKLYN KASSEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28925 SW BOBERG RD, WILSONVILLE, OR 97070-8218
(503) 395-0152
Mailing address
28925 SW BOBERG RD, WILSONVILLE, OR 97070-8218
(503) 395-0152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WA
101YP2500X
Professional Counselor
Primary
R9458
OR
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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