Provider Demographics
NPI:1306410436
Name:HOLLINGSWORTH, KENDRA GLATTIER (MFT GRADUATE STUDENT)
Entity Type:Individual
Prefix:MISS
First Name:KENDRA
Middle Name:GLATTIER
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:MFT GRADUATE STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 SW TAYLOR ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-2446
Mailing Address - Country:US
Mailing Address - Phone:503-446-2500
Mailing Address - Fax:
Practice Address - Street 1:333 SW TAYLOR ST STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2446
Practice Address - Country:US
Practice Address - Phone:360-699-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health