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Kyira Wackett, MS,LPC
Professional Counselor in Milwaukie, Oregon
NPI 1366966012

Kyira Wackett is a Professional Counselor based in Portland, OR and is specialized in Professional. Kyira Wackett practices in Milwaukie, OR and has the professional credentials of MS,LPC. The NPI Number for Kyira Wackett is 1366966012 and holds a License No. C5188 (Oregon).

The current practice location address for Kyira Wackett is 2115 Se Adams St Ste B, Milwaukie, OR and can be reached out via phone at 503-659-3480.

Location: 2115 Se Adams St Ste B, Milwaukie, OR, 97206-0824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366966012
Provider Name
Kyira Wackett
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
2115 Se Adams St Ste B, Milwaukie, OR, 97206-0824
Phone Number
503-659-3480
Fax Number
Provider Enumeration Date
08/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2115 Se Adams St Ste B
City
Milwaukie
State
Oregon
Zip
97222
Phone Number
503-659-3480
Fax Number
person
Provider Business Mailing Address Details
Address
2115 Se Adams St Ste B
City
Milwaukie
State
Oregon
Zip
97222
Phone Number
503-659-3480
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C5188 (Oregon)
Definition
Definition to come...
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