person
Mr. Jack Douglas Kelley, LPC
Mental Health Counselor in Portland, Oregon
NPI 1265873343

Jack Douglas Kelley is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jack Douglas Kelley practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Jack Douglas Kelley is 1265873343 and holds a License No. C3282 (Oregon).

The current practice location address for Jack Douglas Kelley is 1027 E Burnside St, Portland, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8406.

Location: 1027 E Burnside St, Portland, OR, 97214-1328
person
Provider Profile Details
NPI Number
1265873343
Provider Name
Jack Douglas Kelley
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1027 E Burnside St, Portland, OR, 97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8406
Provider Enumeration Date
07/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8406
person
Provider Business Mailing Address Details
Address
1027 E Burnside St
City
State
Zip
97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8406
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C3282 (Oregon)
Definition
Definition to come...
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