DR. CONSTANCE KIM-GERVEY PHD, MED, LPC INTERN
NPI 1891385431
Counselor - Mental Health in West Linn, OR
Active since January 18, 2021
About Dr. Constance Kim-gervey Phd, Med, Lpc Intern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CONSTANCE KIM-GERVEY PHD, MED, LPC INTERN (NPI 1891385431) is an individual mental health provider in West Linn, Oregon, licensed in Oregon (5778) and active in the NPI registry since January 2021.
NPPES Registry Identity
NPI1891385431
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. CONSTANCE KIM-GERVEYCredential: PHD, MED, LPC INTERN
Location Address1333 TROON DRWest Linn, OR 97068-1808
Mailing Address1333 Troon DrWest Linn, OR 97068-1808 · (503) 342-8633
Phone(503) 342-8633
Sole ProprietorYes
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1891385431 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 5778
1333 TROON DR, West Linn, OR 97068
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891385431, enumerated as an "individual" on January 18, 2021.
The provider is located at 1333 TROON DR WEST LINN, OR 97068 and the phone number is (503) 342-8633.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
