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1073027595
CHRISTOPHER MICHAEL KENLINE
DES MOINES, IA
NPI
1073027595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 11118)
Enumeration Date
2017-11-20
Last Update Date
2018-03-17
Business Address
Mr. CHRISTOPHER MICHAEL KENLINE MS, IAADC
3806 EASTON BLVD
DES MOINES, IA 50317-5730
Phone number: 515-262-0349
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Mailing Address
Mr. CHRISTOPHER MICHAEL KENLINE MS, IAADC
4203 43RD ST
DES MOINES, IA 50310-3723
Phone number: 515-205-3233
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