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Individual

KATHLEEN A. MOUNTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1217 NE BURNSIDE RD, SUITE C601, GRESHAM, OR 97030-6722
(503) 674-5902
(503) 492-4816
Mailing address
2881 SW LILLYBEN PL, GRESHAM, OR 97080-9507
(503) 674-5902
(503) 492-4816

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00053123
WA
1041C0700X
Clinical Social Worker
Primary
L4040
OR

Other

Enumeration date
03/22/2007
Last updated
04/23/2009
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