person
Mr. Peter Shane Kidnocker, CDCA
Addiction (Substance Use Disorder) Counselor in Portsmouth, Ohio
NPI 1376141564

Peter Shane Kidnocker is an Addiction (Substance Use Disorder) Counselor based in Portsmouth, OH and is specialized in Addiction (Substance Use Disorder). Peter Shane Kidnocker practices in Portsmouth, OH and has the professional credentials of CDCA. The NPI Number for Peter Shane Kidnocker is 1376141564 and holds a License No. (Ohio).

The current practice location address for Peter Shane Kidnocker is 519 Court St, Portsmouth, OH and can be reached out via phone at 740-876-4370 and via fax at 740-529-1313.

Location: 519 Court St, Portsmouth, OH, 45662-3933
person
Provider Profile Details
NPI Number
1376141564
Provider Name
Peter Shane Kidnocker
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
519 Court St, Portsmouth, OH, 45662-3933
Phone Number
740-876-4370
Fax Number
740-529-1313
Provider Enumeration Date
10/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
519 Court St
City
State
Zip
45662-3933
Phone Number
740-876-4370
Fax Number
740-529-1313
person
Provider Business Mailing Address Details
Address
519 Court St
City
State
Zip
45662-3933
Phone Number
740-876-4370
Fax Number
740-529-1313
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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