Individual provider · Type 1 NPI

Kennedy Cheyenne Benitez

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1083215958 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 546-7387 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 1083215958

Kennedy Cheyenne Benitez's National Provider Identifier is 1083215958, issued on Nov 5, 2020. 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 Nov 5, 2020.