Individual
DEBRA L KITCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(971) 347-4562
Mailing address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(971) 347-4562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C5103
OR
106H00000X
Marriage & Family Therapist
Primary
T1362
OR
Other
Enumeration date
09/24/2010
Last updated
06/15/2021
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