Individual provider · Type 1 NPI

Susan Rennae Kirkendall, MS, AADC

Addiction (Substance Use Disorder) Counselor · Bridgeport, WV

NPI number 1760967400 Active

Practice location

527 Medical Park Dr
Bridgeport, WV 26330-9008

Call (304) 933-3884 Map

Mailing address

1100 Andrew Dr
Morgantown, WV 26508-6842

Other practice locations

  • 1288 Suncrest Drive, Morgantown, WV 26508-2650 · (304) 933-3884

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X98-302 (WV)

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

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About NPI 1760967400

Susan Rennae Kirkendall, MS, AADC's National Provider Identifier is 1760967400, issued on Sep 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, WV. The record was last updated on Sep 28, 2018.