KAITLYN SHEA LONG

PORTLAND, OR
NPI1144820572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2020-10-26
Last Update Date2022-10-31
Business Address
KAITLYN SHEA LONG
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 888-295-6996
Mailing Address
KAITLYN SHEA LONG
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591