Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNA M CLEMENTS, CACIII
ActiveAddiction (Substance Use Disorder) Counselor · WALDEN, CO
Registration Details
- NPI Number
- 1588859672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2007 (18.642743657694 yrs)
- Last Updated
- Aug 11, 2011
- License
-
6872 (CO)
Practice Information
- Address
-
350 MCKINLEY STREETWALDEN, CO, 80480Browse CO providers · Browse ZIP 80480
- Phone
- 9707230055
- Fax
- 9707234732
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.