KENDRA DISSPAIN, SUDPT

Counselor

Active Individual
NPI: 1164234795

Practice Address

748 14TH AVE
Longview, WA 98632

Phone: (360) 200-5419

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes CO61589685 (WA)

Frequently Asked Questions

NPI 1164234795 is the National Provider Identifier for KENDRA DISSPAIN, SUDPT, a Counselor provider located in Longview, WA. This NPI was enumerated on January 21, 2025.
KENDRA DISSPAIN, SUDPT practices at 748 14TH AVE, Longview, WA 98632.

Quick Facts

NPI
1164234795
Type
Individual
Enumerated
Jan 21, 2025
Last Updated
Jan 21, 2025

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