Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Cleaver

Individual provider Mental Health Counselor · NPI 1720646706

Kellie Cleaver is a Mental Health Counselor in Dallas, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

182 SW Academy St
Dallas, OR 97338-1996
Phone: (503) 623-9289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C7151 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1720646706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 4, 2019
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address643 Nw 10th St, Corvallis, OR 97330-6111

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