MATIA KELLY

PORTLAND, OR
NPI1578956082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C5221)
Enumeration Date2015-03-07
Last Update Date2023-01-09
Business Address
MATIA KELLY LPC
224 NE 28TH AVE
PORTLAND, OR 97232-3148
Phone number: 971-251-0221
Mailing Address
MATIA KELLY LPC
224 NE 28TH AVE
PORTLAND, OR 97232-3148
Phone number: 971-251-0221
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