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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Amber C. Lewis, CRM/PSSAddiction (Substance Use Disorder) Counselor Portland, OR NPI 1003450248
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- Jacob Erin Scott, CADCAddiction (Substance Use Disorder) Counselor Portland, OR NPI 1003578634
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.