KENNEDY CHEYENNE BENITEZ

PORTLAND, OR
NPI1083215958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
KENNEDY CHEYENNE BENITEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-7387
Mailing Address
KENNEDY CHEYENNE BENITEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: