Organization · Type 2 NPI
Self Renew LLC
Addiction (Substance Use Disorder) Counselor · Williamsburg, KY
NPI number
1013606144
Active
Practice location
308 Cumberland Ave
Williamsburg, KY 40769-1292
Mailing address
603 Riverside Dr
Prestonsburg, KY 41653-7746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1013606144
Self Renew LLC's National Provider Identifier is 1013606144, issued on May 4, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Williamsburg, KY. The record was last updated on May 4, 2023.