person
Kellie Supriano, MS
Professional Counselor in Portland, Oregon
NPI 1154662807

Kellie Supriano is a Professional Counselor based in Portland, OR and is specialized in Professional. Kellie Supriano practices in Portland, OR and has the professional credentials of MS. The NPI Number for Kellie Supriano is 1154662807 and holds a License No. C3491 (Oregon).

The current practice location address for Kellie Supriano is 2931 Ne Broadway St, Portland, OR and can be reached out via phone at 503-939-9482.

Location: 2931 Ne Broadway St, Portland, OR, 97232-1760
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Provider Profile Details
NPI Number
1154662807
Provider Name
Kellie Supriano
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
2931 Ne Broadway St, Portland, OR, 97232-1760
Phone Number
503-939-9482
Fax Number
Provider Enumeration Date
03/05/2013
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
2931 Ne Broadway St
City
State
Zip
97232-1760
Phone Number
503-939-9482
Fax Number
person
Provider Business Mailing Address Details
Address
2931 Ne Broadway St
City
State
Zip
97232-1760
Phone Number
503-939-9482
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3491 (Oregon)
Definition
Definition to come...
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