| Kelle Debruin Counseling, Llc | |
|
7320 Sw Hunziker Rd Ste 201 Tigard OR 97223-2301 | |
| (503) 778-0787 | |
| (503) 296-2938 |
| Full Name | Kelle Debruin Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7320 Sw Hunziker Rd Ste 201, Tigard, Oregon |
| Authorized Official Name and Position | Kelle Lea Nelson-debruin (THERAPIST/OWNER) |
| Authorized Official Contact | 5037780787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelle Debruin Counseling, Llc 1300 John Adams St # 111 Oregon City OR 97045-1695 Ph: (503) 778-0787 | Kelle Debruin Counseling, Llc 7320 Sw Hunziker Rd Ste 201 Tigard OR 97223-2301 Ph: (503) 778-0787 |
| NPI Number | 1376290809 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376290809 | NPI | - | NPPES |
| 500774617 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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