Individual provider · Type 1 NPI

Roger M. Kern

Addiction (Substance Use Disorder) Counselor · Apache Junction, AZ

NPI number 1811045420 Active

Practice location

564 N Idaho Rd
Apache Junction, AZ 85219-4001

Fax (480) 288-5339

Mailing address

PO Box 3160
Apache Junction, AZ 85217-3160

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC 10208 (AZ)

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

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About NPI 1811045420

Roger M. Kern's National Provider Identifier is 1811045420, issued on Jan 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Apache Junction, AZ. The record was last updated on Jul 9, 2007.