KELSEY MARIE WILLIAMS COUNSELOR ASSOCIATE NPI 1861080731

NPI Information

NPI: 1861080731
Provider Name: KELSEY MARIE WILLIAMS, COUNSELOR ASSOCIATE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4784 N LOMBARD ST.
SUITE B PMB 1064
PORTLAND, OR
ZIP 97203
Phone: (971) 704-9269
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Kelsey Marie Williams, COUNSELOR ASSOCIATE is a mental health counselor in Portland, OR. Kelsey Marie Williams, COUNSELOR ASSOCIATE NPI is 1861080731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4784 N LOMBARD ST.
SUITE B PMB 1064
PORTLAND, OR
ZIP 97203-565
Phone: (971) 704-9269

The enumeration date for this NPI number is 1/6/2021 and was last updated on 11/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	R6976	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R6976	OTHER	OREGON	PROFESSIONAL COUNSELOR ASSOCIATE REGISTRATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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