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Kenneth Case, CDPT
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1053839787

Kenneth Case is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Kenneth Case practices in Kelso, WA and has the professional credentials of CDPT. The NPI Number for Kenneth Case is 1053839787 and holds a License No. 60607298 (Washington).

The current practice location address for Kenneth Case is 305 Pacific Ave S Ste 102, Kelso, WA and can be reached out via phone at 360-577-7442.

Location: 305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053839787
Provider Name
Kenneth Case
Credential
CDPT
Provider Entity Type
Individual
Gender
Male
Address
305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
Phone Number
360-577-7442
Fax Number
Provider Enumeration Date
09/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-577-7442
Fax Number
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-577-7442
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
60607298 (Washington)
Definition
Definition to come...
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