Individual provider · Type 1 NPI

Kedward Haines

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1962924324 Active

Practice location

3871 Fairview Industrial Dr SE Ste 150
Salem, OR 97302-1172

Call (503) 391-9762 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17-05-08 (OR)

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

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About NPI 1962924324

Kedward Haines's National Provider Identifier is 1962924324, issued on Jul 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Jul 21, 2022.