Individual provider · Type 1 NPI

Kenneth Warren, CADC, CODP I

Addiction (Substance Use Disorder) Counselor · East Moline, IL

NPI number 1114757218 Active

Practice location

1607 John Deere Rd
East Moline, IL 61244-9607

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X36152 (IL)

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

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About NPI 1114757218

Kenneth Warren, CADC, CODP I's National Provider Identifier is 1114757218, issued on Aug 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Moline, IL. The record was last updated on Aug 3, 2024.