Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN KENNELLY, CRM, CADC R
ActiveNATHAN KENNELLY, CRM, CADC R is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GRESHAM, Oregon. NPI 1871304279 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GRESHAM, OR
Registration Details
- NPI Number
- 1871304279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2025 (1.5537494206558 yrs)
- Last Updated
- Jan 15, 2025
Practice Information
- Address
-
1217 NE BURNSIDE RD STE 701GRESHAM, OR, 970305770Browse OR providers · Browse ZIP 97030
- Phone
- 5037406449
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| MR. SHERWIN H. MOSCOW | MA | 1760595441 |
| MARY LOUISE DAVIS | CADCI | 1407906308 |
| EMELIE M THOMPSON | CADC | 1619095338 |
| MIGUEL TELLEZ | — | 1851519128 |
| MS. ANGELA MICHELLE WATSON | CADC APPLICANT | 1316167737 |
| FREDERICK FRANCIS SMITH | CADC II | 1467646307 |
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.