Individual provider · Type 1 NPI

Shiletha Kennedy

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1780032656 Active

Practice location

2600 SE Belmont St
Portland, OR 97214-2916

Mailing address

22745 NE Halsey St Apt 82
Fairview, OR 97024-4607

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 1780032656

Shiletha Kennedy's National Provider Identifier is 1780032656, issued on Jun 1, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2016.