Provider Demographics
NPI:1790236537
Name:BJORKLUND, KRISTIN KAIJAH (LPC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:KAIJAH
Last Name:BJORKLUND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAIJAH
Other - Middle Name:
Other - Last Name:BJORKLUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:275 RANDY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1131
Mailing Address - Country:US
Mailing Address - Phone:541-708-5436
Mailing Address - Fax:866-701-9131
Practice Address - Street 1:275 RANDY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1131
Practice Address - Country:US
Practice Address - Phone:541-499-7338
Practice Address - Fax:866-701-9131
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5443101YM0800X
ORLMT-16204225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health