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Individual

KADE MOLLINEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8800 SE SUNNYSIDE RD STE 112N, CLACKAMAS, OR 97015-5738
(503) 208-5736
Mailing address
8800 SE SUNNYSIDE RD STE 112N, CLACKAMAS, OR 97015-5738
(503) 208-5736

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
26-QMHP-R-4331
OR
101YM0800X
Mental Health Counselor
Primary
A18245
OR
175T00000X
Peer Specialist
Primary

Other

Enumeration date
12/08/2022
Last updated
06/30/2026
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