KENNETH CASE

KELSO, WA
NPI1053839787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60607298)
Enumeration Date2017-09-01
Last Update Date2019-11-21
Business Address
KENNETH CASE cdpt
305 PACIFIC AVE S STE 102
KELSO, WA 98626-1638
Phone number: 360-577-7442
Mailing Address
KENNETH CASE cdpt
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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