MR. Darrel Kyniston Kyniston, CADC 1

NPI #1760922033 in Lakeview, Oregon

Provider Information

NPI Number: 1760922033
Entity Type: Individual
Name: MR. Darrel Kyniston Kyniston, CADC 1
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: CADC 1
Enumeration Date: Mar 6, 2017
Last Updated: Mar 6, 2017

Practice Location

Address: 215 NORTH G STREET
City: Lakeview
State: Oregon
ZIP Code: 97630
Phone: (541) 947-6021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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