Individual provider · Type 1 NPI

Ettinah Renee Kent, BSW, TCADC

Addiction (Substance Use Disorder) Counselor · Cedar Rapids, IA

NPI number 1326759622 Active

Practice location

215 4th Ave SE
Cedar Rapids, IA 52401-1844

Mailing address

240 N Bluff Blvd Ste 206
Clinton, IA 52732-7146

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT22178 (IA)

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

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About NPI 1326759622

Ettinah Renee Kent, BSW, TCADC's National Provider Identifier is 1326759622, issued on Dec 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cedar Rapids, IA. The record was last updated on Dec 7, 2022.