Individual provider · Type 1 NPI
Kenneth Michael Lott
Addiction (Substance Use Disorder) Counselor · San Rafael, CA
NPI number
1487378444
Active
Practice location
13 Peter Behr Dr
San Rafael, CA 94903-5216
Mailing address
94 Cormorant Ct
Martinez, CA 94553-2117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R146110322 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487378444
Kenneth Michael Lott's National Provider Identifier is 1487378444, issued on Oct 3, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Oct 3, 2022.