MR. KELLEY MAST B.S., QMHA
NPI 1457541054
Counselor - Mental Health in Jasper, OR
Active since July 30, 2007
About Mr. Kelley Mast B.s., Qmha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KELLEY MAST B.S., QMHA (NPI 1457541054) is an individual mental health provider in Jasper, Oregon and active in the NPI registry since July 2007.
NPPES Registry Identity
NPI1457541054
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KELLEY MASTCredential: B.S., QMHA
Location Address37875 JASPER LOWELL RDJasper, OR 97438-9751
Mailing Address37875 Jasper Lowell RdJasper, OR 97438-9751 · (541) 747-1235 · Fax (541) 747-4722
Phone(541) 747-1235
Fax(541) 747-4722
Sole ProprietorNo
Enumeration DateJuly 30, 2007
✔ NPI 1457541054 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
37875 JASPER LOWELL RD, Jasper, OR 97438
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457541054, enumerated as an "individual" on July 30, 2007.
The provider is located at 37875 JASPER LOWELL RD JASPER, OR 97438 and the phone number is (541) 747-1235.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.