Individual
DR. CONSTANCE KIM-GERVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MED, LPC INTERN
Contact information
Practice address
1333 TROON DR, WEST LINN, OR 97068-1808
(503) 342-8633
Mailing address
1333 TROON DR, WEST LINN, OR 97068-1808
(503) 342-8633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5778
OR
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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