person
Kedward Haines
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1962924324

Kedward Haines is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Kedward Haines practices in Salem, OR. The NPI Number for Kedward Haines is 1962924324 and holds a License No. 17-05-08 (Oregon).

The current practice location address for Kedward Haines is 3871 Fairview Industrial Dr Se Ste 150, Salem, OR and can be reached out via phone at 503-391-9762.

Location: 3871 Fairview Industrial Dr Se Ste 150, Salem, OR, 97302-1172
person
Provider Profile Details
NPI Number
1962924324
Provider Name
Kedward Haines
Credential
Provider Entity Type
Individual
Gender
Male
Address
3871 Fairview Industrial Dr Se Ste 150, Salem, OR, 97302-1172
Phone Number
503-391-9762
Fax Number
Provider Enumeration Date
07/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3871 Fairview Industrial Dr Se Ste 150
City
State
Zip
97302-1172
Phone Number
503-391-9762
Fax Number
person
Provider Business Mailing Address Details
Address
3871 Fairview Industrial Dr Se Ste 150
City
State
Zip
97302-1172
Phone Number
503-391-9762
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17-05-08 (Oregon)
Definition
Definition to come...
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