MARY KAITLYN NELSON

PORTLAND, OR
NPI1336564830
Professional NameKAITY NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2014-02-20
Last Update Date2014-02-20
Business Address
-- MARY KAITLYN NELSON
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1167
Mailing Address
-- MARY KAITLYN NELSON
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number: