Individual
KILLIAN KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1700 NW CIVIC DR, WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES, GRESHAM, OR 97030
(503) 666-8832
Mailing address
PO BOX 82819, WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES, PORTLAND, OR 97282
(503) 233-5405
(503) 233-2696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1810
OR
Other
Enumeration date
03/27/2007
Last updated
05/13/2010
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