Stephen Paul Kliewer, LPC
Individual provider Active NPI Mental Health Counselor · Enterprise, OR
NPI 1740544246 · NPPES record last updated Jun 28, 2012
Key facts
- NPI
- 1740544246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C2859 (OR)
- Practice address
- 207 SW 1St St
Enterprise, OR 97828-1203 - Phone
- (541) 426-4524
- Fax
- (541) 426-3035
- NPI assigned
- Jun 28, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2859 | OR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C2859 | OR | Yes |
Addresses
Primary practice location
207 SW 1St St
Enterprise, OR 97828-1203
Mailing address
PO Box 218
Joseph, OR 97846-0218
Phone (541) 426-4524
Other providers in Enterprise, OR
- Billie J Kaskasuto
- Jeff Robert Kendall
- Clare Kilker
- Min Ju Kim
- Rebecca King
- Thomas Paul Klimsza
- Krista Nicole Kline
- Emily Knudsen
- Amber M Krepp
- Jackson Duane Law
All providers in Enterprise, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.