NATHAN KENNELLY

GRESHAM, OR
NPI1871304279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2025-01-15
Last Update Date2025-01-15
Business Address
NATHAN KENNELLY CRM, CADC R
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030-5770
Phone number: 503-740-6449
Mailing Address
NATHAN KENNELLY CRM, CADC R
10117 SE SUNNYSIDE RD # F1217
CLACKAMAS, OR 97015-7708
Phone number:
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