Individual provider · Type 1 NPI

Kenya Jo Sanderson, PLADC

Addiction (Substance Use Disorder) Counselor · Omaha, NE

NPI number 1992379275 Active

Practice location

1941 S 42nd St Ste 307
Omaha, NE 68105-2939

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP-1848 (NE)

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

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About NPI 1992379275

Kenya Jo Sanderson, PLADC's National Provider Identifier is 1992379275, issued on May 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omaha, NE. The record was last updated on May 19, 2021.