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Individual

MR. KENNETH BIGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDP, CADC II

Contact information

Practice address
3906 NE 93RD ST, VANCOUVER, WA 98665-5318
(360) 513-5671
Mailing address
3906 NE 93RD ST, VANCOUVER, WA 98665-5318
(360) 513-5671

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14-R-05
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 60341705
WA

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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