Individual
RICKY J KESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADCI
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Mailing address
3813 WARD DR NE, SALEM, OR 97305-1571
(503) 884-1764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05-07-18
OR
171M00000X
Case Manager/Care Coordinator
Primary
05-07-18
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-07-18
CADCI
OR
Enumeration date
01/29/2007
Last updated
09/11/2025
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