KENNETH MABEN NPI 1780046607

NPI Information

Kenneth Maben is a peer specialist in Salem, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kenneth Maben NPI is 1780046607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1599 STATE ST
SALEM, OR
ZIP 97301-255
Phone: (503) 363-3260
Fax: (503) 585-0491

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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