Kendra Disspain, SUDPT
NPI #1164234795 in Longview, Washington
Provider Information
- NPI Number
- 1164234795
- Entity Type
- Individual
- Name
- Kendra Disspain, SUDPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- SUDPT
- Enumeration Date
- Jan 21, 2025
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 748 14TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2315
- Phone
- (360) 200-5419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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