Individual
SELENE DENISE KINYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
1463 NW CITY HEIGHTS DR, BEND, OR 97703-5418
(541) 390-0559
Mailing address
1463 NW CITY HEIGHTS DR, BEND, OR 97703-5418
(541) 390-0559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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