Individual provider · Type 1 NPI

Kenneth Supin

Addiction (Substance Use Disorder) Counselor · Oxnard, CA

NPI number 1003777947 Active

Practice location

2150 N Victoria Ave
Oxnard, CA 93036-7791

Call (818) 431-7472 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003777947

Kenneth Supin's National Provider Identifier is 1003777947, issued on Nov 20, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxnard, CA. The record was last updated on Nov 20, 2025.