# KIMBERLEY SLATER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902378961
- **Gender:** F
- **Credential:** CADC II QMHA 1

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 18-06-28 | OR | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 20-01-37 | OR | Yes |
| 101YM0800X | Mental Health Counselor | 21-QMHA-I-003195 | OR | — |

## Other

- **Enumeration date:** 12/31/2018
- **Last updated:** 04/18/2022