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Ian Seward Kennington
Peer Specialist in Coos Bay, Oregon
NPI 1831967850

Ian Seward Kennington is a Peer Specialist based in Coos Bay, OR. Ian Seward Kennington practices in Coos Bay, OR. The NPI Number for Ian Seward Kennington is 1831967850 and holds a License No. 23-CRM-2708 (Oregon).

The current practice location address for Ian Seward Kennington is 155 S Empire Blvd, Coos Bay, OR and can be reached out via phone at 541-756-3111 and via fax at 541-756-2111.

Location: 155 S Empire Blvd, Coos Bay, OR, 97420-3374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831967850
Provider Name
Ian Seward Kennington
Credential
Provider Entity Type
Individual
Gender
Male
Address
155 S Empire Blvd, Coos Bay, OR, 97420-3374
Phone Number
541-756-3111
Fax Number
541-756-2111
Provider Enumeration Date
12/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-756-3111
Fax Number
541-756-2111
person
Provider Business Mailing Address Details
Address
155 S Empire Blvd
City
Coos Bay
State
Oregon
Zip
97420-3374
Phone Number
541-756-3111
Fax Number
541-756-2111
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
23-CRM-2708 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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