Individual provider · Type 1 NPI

Kim Egan

Addiction (Substance Use Disorder) Counselor · Auburn, CA

NPI number 1134544133 Active

Practice location

12183 Locksley Ln
Auburn, CA 95602-2004

Fax (530) 889-1304

Mailing address

PO Box 6028
Auburn, CA 95604-6028

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 1134544133

Kim Egan's National Provider Identifier is 1134544133, issued on Feb 27, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Auburn, CA. The record was last updated on Feb 27, 2014.