Individual provider · Type 1 NPI

Kenneth Wood, CRM

Addiction (Substance Use Disorder) Counselor · Newport, OR

NPI number 1134770332 Active

Practice location

1376 Fruitvale Rd # Day
Newport, OR 97365-9671

Call (541) 265-7945 Map

Mailing address

1376 Fruitvale Rd
Newport, OR 97365-9671

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 1134770332

Kenneth Wood, CRM's National Provider Identifier is 1134770332, issued on Sep 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport, OR. The record was last updated on Jan 15, 2020.