KENNETH MATTHEW LIBBY

PORTLAND, OR
NPI1851059323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
KENNETH MATTHEW LIBBY
9450 SW BARNES RD
PORTLAND, OR 97225-6619
Phone number: 503-216-2025
Mailing Address
KENNETH MATTHEW LIBBY
12900 SW CRESCENT ST APT 501
BEAVERTON, OR 97005-1790
Phone number: 303-579-8342
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