Individual
KENNA M CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
350 MCKINLEY STREET, WALDEN, CO 80480
(970) 723-0055
(970) 723-4732
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6872
CO
Other
Enumeration date
09/11/2007
Last updated
08/11/2011
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