person
P. Kelly Fitzpatrick, BA,NCACII,QMHA
Peer Specialist in Portland, Oregon
NPI 1891008520

P. Kelly Fitzpatrick is a Peer Specialist based in Portland, OR. P. Kelly Fitzpatrick practices in Portland, OR and has the professional credentials of BA,NCACII,QMHA. The NPI Number for P. Kelly Fitzpatrick is 1891008520 and holds a License No. 07-09-60 (Oregon).

The current practice location address for P. Kelly Fitzpatrick is 10570 Se Washington St, Portland, OR and can be reached out via phone at 503-933-2440.

Location: 10570 Se Washington St, Portland, OR, 97292-0756
person
Provider Profile Details
NPI Number
1891008520
Provider Name
P. Kelly Fitzpatrick
Credential
BA,NCACII,QMHA
Provider Entity Type
Individual
Gender
Female
Address
10570 Se Washington St, Portland, OR, 97292-0756
Phone Number
503-933-2440
Fax Number
Provider Enumeration Date
07/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10570 Se Washington St
City
State
Zip
97216-2846
Phone Number
503-933-2440
Fax Number
person
Provider Business Mailing Address Details
Address
10570 Se Washington St
City
State
Zip
97216-2846
Phone Number
503-933-2440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15-CRM-167 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
07-09-60 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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