KELLIE CLEAVER
Counselor - Professional
Active
Individual
NPI: 1720646706
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | - |
| Counselor - Professional | 101YP2500X | Yes | C7151 (OR) |
Frequently Asked Questions
NPI 1720646706 is the National Provider Identifier for KELLIE CLEAVER, a Counselor - Professional provider located in Dallas, OR. This NPI was enumerated on June 4, 2019.
KELLIE CLEAVER practices at 182 SW ACADEMY ST, Dallas, OR 97338.
Quick Facts
- NPI
- 1720646706
- Type
- Individual
- Enumerated
- Jun 4, 2019
- Last Updated
- Nov 27, 2024
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