IndividualActive
Kathleen Mayberry, ED.M.
NPI 1083798565 · Professional Counselor · Williams, OR
Provider details
- NPI number
- 1083798565
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- ED.M.
- Sex
- Female
- Sole proprietor
- Yes
- License
- C7447 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1015 Panther Gulch Rd
Williams, OR 97544-9709
Phone: (303) 956-5284
Approximate (ZIP-level) locationGet directions
Mailing address
1015 Panther Gulch Rd
Williams, OR 97544-9709
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.