Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL TRAVIS KERN, CDAC
Active Sole ProprietorMR. PAUL TRAVIS KERN, CDAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in KELSO, Washington. NPI 1174972947 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · KELSO, WA
Registration Details
- NPI Number
- 1174972947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2016 (10.027995139965 yrs)
- Last Updated
- Nov 22, 2019
- Licenses
-
CP 60041391 (WA)16R21 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 PACIFIC AVE S STE 102KELSO, WA, 986261638Browse WA providers · Browse ZIP 98626
- Phone
- 3605777442
- Fax
- 3605777904
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Case Manager
Other Addiction (Substance Use Disorder) Counselor Providers in KELSO, WA
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY JAMES TEDDER | CDP | 1376823526 |
| GREGORY ERNEST ERBES | SUDP | 1629328612 |
| RAMA MITCHELL JR. | SUDP | 1609266717 |
| MICHELLE BUCKHOLZ | SUDP | 1215323977 |
| DEBORAH SMITH | — | 1083092548 |
| CATHY LUDAHL | CDP | 1073982880 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.