person
Mr. Kevin Lee Peters, CADC1
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1043877103

Kevin Lee Peters is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Kevin Lee Peters practices in Portland, OR and has the professional credentials of CADC1. The NPI Number for Kevin Lee Peters is 1043877103 and holds a License No. 101YA0400X (Oregon).

The current practice location address for Kevin Lee Peters is 20 Ne 10Th Ave, Portland, OR and can be reached out via phone at 503-239-8400 and via fax at 503-239-8407.

Location: 20 Ne 10Th Ave, Portland, OR, 97214-1328
person
Provider Profile Details
NPI Number
1043877103
Provider Name
Kevin Lee Peters
Credential
CADC1
Provider Entity Type
Individual
Gender
Male
Address
20 Ne 10Th Ave, Portland, OR, 97214-1328
Phone Number
503-239-8400
Fax Number
503-239-8407
Provider Enumeration Date
05/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 Ne 10Th Ave
City
State
Zip
97232-2916
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider Business Mailing Address Details
Address
20 Ne 10Th Ave
City
State
Zip
97232-2916
Phone Number
503-239-8400
Fax Number
503-239-8407
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
101YA0400X ()
Definition
Definition to come...
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