Individual
KEONI DANIELSON KUWAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
42010 MARKS RIDGE DR, SWEET HOME, OR 97386-9545
(541) 409-6377
Mailing address
42010 MARKS RIDGE DR, SWEET HOME, OR 97386-9545
(541) 409-6377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R8002
OR
Other
Enumeration date
04/13/2020
Last updated
07/21/2025
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