Individual provider · Type 1 NPI

Jesse Paul Kent

Addiction (Substance Use Disorder) Counselor · Dixon, IL

NPI number 1922380997 Active

Practice location

325 Il Route 2
Dixon, IL 61021-9118

Mailing address

203 Grant Ave
Dixon, IL 61021-2649

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 1922380997

Jesse Paul Kent's National Provider Identifier is 1922380997, issued on Sep 15, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dixon, IL. The record was last updated on Sep 15, 2011.