Kenneth Supin
NPI #1003777947 in Oxnard, California
Provider Information
- NPI Number
- 1003777947
- Entity Type
- Individual
- Name
- Kenneth Supin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 20, 2025
- Last Updated
- Nov 20, 2025
Practice Location
- Address
- 2150 N VICTORIA AVE
- City
- Oxnard
- State
- California
- ZIP Code
- 93036-7791
- Phone
- (818) 431-7472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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