Individual
KYMBERLI DAWN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, QMHP, LPC
Contact information
Practice address
104 SW KINKADE RD, BOARDMAN, OR 97818
(541) 481-2911
(541) 481-2006
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
(541) 676-5662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8045
OR
175T00000X
Peer Specialist
THW000002263
OR
Other
Enumeration date
01/04/2017
Last updated
10/07/2024
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