Individual
MR. CHRISTOPHER MICHAEL KENLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, IAADC
Contact information
Practice address
3806 EASTON BLVD, DES MOINES, IA 50317-5730
(515) 262-0349
(515) 953-6716
Mailing address
4203 43RD ST, DES MOINES, IA 50310-3723
(515) 205-3233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11118
IA
Other
Enumeration date
11/20/2017
Last updated
03/17/2018
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