Individual
KIMBERLY SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2064 SE DOUGLAS AVE, ROSEBURG, OR 97470-3713
(541) 673-5119
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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