Individual provider · Type 1 NPI
Kevin Tomlin, LPC
Addiction (Substance Use Disorder) Counselor · Portland, OR
NPI number
1043640873
Active
Practice location
19500 SE Stark St
Portland, OR 97233-5757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10-12-53 (OR) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 60407047 (WA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 60801992 (WA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C3832 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043640873
Kevin Tomlin, LPC's National Provider Identifier is 1043640873, issued on Nov 14, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 18, 2019.