Individual provider · Type 1 NPI

Jennifer King, BSW, CADCII

Addiction (Substance Use Disorder) Counselor · Phoenix, OR

NPI number 1932569563 Active

Practice location

149 S Main St
Phoenix, OR 97535-6631

Fax (541) 535-5458

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 1932569563

Jennifer King, BSW, CADCII's National Provider Identifier is 1932569563, issued on Feb 24, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, OR. The record was last updated on Feb 24, 2016.