Provider Demographics
NPI:1275628042
Name:MCATEER, KIRSTEN LESLIE (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:LESLIE
Last Name:MCATEER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:LESLIE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1220 SW MORRISON ST
Mailing Address - Street 2:SUITE 905
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2235
Mailing Address - Country:US
Mailing Address - Phone:503-515-1791
Mailing Address - Fax:866-833-8702
Practice Address - Street 1:1220 SW MORRISON ST STE 905
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2231
Practice Address - Country:US
Practice Address - Phone:503-515-1791
Practice Address - Fax:866-833-8702
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 101YP2500X
ORC2130101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional