person
Ms. Kimberly Ann Ham
Addiction (Substance Use Disorder) Counselor in Baker City, Oregon
NPI 1063009264

Kimberly Ann Ham is an Addiction (Substance Use Disorder) Counselor based in Baker City, OR and is specialized in Addiction (Substance Use Disorder). Kimberly Ann Ham practices in Baker City, OR. The NPI Number for Kimberly Ann Ham is 1063009264 and holds a License No. TG-21-039 (Oregon).

The current practice location address for Kimberly Ann Ham is 3425 13Th St, Baker City, OR and can be reached out via phone at 541-523-7400 and via fax at 541-523-4927.

Location: 3425 13Th St, Baker City, OR, 97814-1340
person
Provider Profile Details
NPI Number
1063009264
Provider Name
Kimberly Ann Ham
Credential
Provider Entity Type
Individual
Gender
Female
Address
3425 13Th St, Baker City, OR, 97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
Provider Enumeration Date
12/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T-19-599 01 OR CADC-R CERTIFICATE
TG-21-039 01 OR CGAC-R CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
3425 13Th St
City
State
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
person
Provider Business Mailing Address Details
Address
3425 13Th St
City
State
Zip
97814-1340
Phone Number
541-523-7400
Fax Number
541-523-4927
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-19-599 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
TG-21-039 (Oregon)
Definition
Definition to come...
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