Individual provider · Type 1 NPI

Michael Kerckhoff

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1225894033 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Call (310) 519-8723 Map

Mailing address

1239 N Wilmington Blvd
Wilmington, CA 90744-2455

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24722 (CA)

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

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About NPI 1225894033

Michael Kerckhoff's National Provider Identifier is 1225894033, issued on Feb 28, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Sep 1, 2026.