| NPI | 1437925427 |
|---|---|
| Doing Business As | KELLYJOY KANALEY, LPC |
| Entity Type | Organization |
| Authorized Contact | KELLYJOY KANALEY Member Manager/President 503-473-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-12-04 |