Individual provider · Type 1 NPI

Kevin Dale Hensley

Mental Health Counselor · Coos Bay, OR

NPI number 1962049817 Active

Practice location

1885 Thompson Rd
Coos Bay, OR 97420-2152

Fax (541) 266-8479

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962049817

Kevin Dale Hensley's National Provider Identifier is 1962049817, issued on Dec 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coos Bay, OR. The record was last updated on Dec 10, 2019.