David Kitchen III
Counselor, Addiction (Substance Use Disorder) in Ironton, OH. Individual provider (NPI-1).
NPI number1962098459
StatusActive
Last updated in NPPESMar 19, 2021
Details
- NPI
- 1962098459
- Entity type
- Individual (NPI-1)
- Name
- David Kitchen III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2020
- Certification date
- Mar 19, 2021
- Last updated
- Mar 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.176148 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1724 S 3rd StIronton, OH 45638-2269
Phone 740-479-5135
Mailing address
1724 S 3rd StIronton, OH 45638-2269
Phone 740-479-5135
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All 358 Addiction (Substance Use Disorder) Counselor providers in Ironton · All 1,357 providers in Ironton
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