Individual provider · Type 1 NPI

Kenneth R. Ninham, MSE

Addiction (Substance Use Disorder) Counselor · Lac Du Flambeau, WI

NPI number 1992795223 Active

Practice location

129 Old Abe Rd
Lac Du Flambeau, WI 54538-9386

Call (715) 588-3371 Map

Fax (715) 588-2031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2624-120 (WI)
Professional Counselor 101YP2500X11915-134 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1060-132 (WI)

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

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About NPI 1992795223

Kenneth R. Ninham, MSE's National Provider Identifier is 1992795223, issued on Oct 27, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lac Du Flambeau, WI. The record was last updated on Jun 27, 2016.