Individual provider · Type 1 NPI

Max Andrew Kenworthy, LPC, LAC

Addiction (Substance Use Disorder) Counselor · Lakewood, CO

NPI number 1821687054 Active

Practice location

8805 W 14th Ave Ste 200
Lakewood, CO 80215-4848

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC0016601 (CO)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD00001395 (CO)

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

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About NPI 1821687054

Max Andrew Kenworthy, LPC, LAC's National Provider Identifier is 1821687054, issued on Jan 12, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, CO. The record was last updated on Jan 12, 2021.