Individual
KELLY NOELLE KAHLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
929 SW SIMPSON AVE STE 300, BEND, OR 97702
(541) 389-7741
(541) 278-8375
Mailing address
929 SW SIMPSON AVE STE 300, BEND, OR 97702-3599
(541) 389-7741
(541) 278-8375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
73895
CA
1041C0700X
Clinical Social Worker
Primary
L7827
OR
Other
Enumeration date
07/19/2011
Last updated
03/23/2022
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