KENNETH SUPIN

OXNARD, CA
NPI1003777947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-11-20
Last Update Date2025-11-20
Business Address
KENNETH SUPIN
2150 N VICTORIA AVE
OXNARD, CA 93036-7791
Phone number: 818-431-7472
Mailing Address
KENNETH SUPIN
2150 N VICTORIA AVE
OXNARD, CA 93036-7791
Phone number:
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