DEBRA JEAN KANNAN

PORTLAND, OR
NPI1942770045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-11-30
Last Update Date2018-11-30
Business Address
DEBRA JEAN KANNAN
4035 NE SANDY BLVD STE 200
PORTLAND, OR 97212-5331
Phone number: 971-940-2601
Mailing Address
DEBRA JEAN KANNAN
8827 SE ALDER ST
PORTLAND, OR 97216-1607
Phone number: 503-490-6418