Individual provider · Type 1 NPI

Kennedy Odero

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1043917370 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2639

Call (909) 421-7120 Map

Fax (909) 421-7128

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 1043917370

Kennedy Odero's National Provider Identifier is 1043917370, issued on Feb 7, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Feb 7, 2023.