Individual
ELI KINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
565 UNION ST NE STE 208B, SALEM, OR 97301-2418
(971) 701-4755
Mailing address
4857 OREGANO AVE NE, SALEM, OR 97301-4667
(971) 701-4755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11766
OR
Other
Enumeration date
08/10/2017
Last updated
06/06/2025
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