Individual
KELLEY KERCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.D.C. I
Contact information
Practice address
2586 12TH PL SE, SALEM, OR 97302-2536
(150) 337-1416
(150) 337-5972
Mailing address
4050 BECK AVE SE, SALEM, OR 97317-5617
(150) 341-0904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-09-32
OR
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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