KASEY M LIX

PORTLAND, OR
NPI1710540869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: OR  R5121)
Enumeration Date2019-04-15
Last Update Date2019-04-15
Business Address
KASEY M LIX LPC INTERN R5121
948 NE 102ND AVE STE 101
PORTLAND, OR 97220-4064
Phone number: 503-257-0381
Mailing Address
KASEY M LIX LPC INTERN R5121
10305 SE BELL AVE
MILWAUKIE, OR 97222-2230
Phone number: 503-267-1761
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