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MR. PAUL TRAVIS KERN CDAC
NPI 1174972947
Counselor - Addiction (Substance Use Disorder) in Kelso, WA

Active since June 12, 2016
305 PACIFIC AVE S STE 102, KELSO, WA 98626(360) 577-7442(360) 577-7904 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2019, Nov 13, 2019, Nov 1, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Paul Travis Kern Cdac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL TRAVIS KERN CDAC (NPI 1174972947) is an individual addiction (substance use disorder) provider in Kelso, Washington, licensed in Washington (CP 60041391) and active in the NPI registry since June 2016. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174972947
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. PAUL TRAVIS KERNCredential: CDAC
Location Address305 PACIFIC AVE S STE 102Kelso, WA 98626-1638
Mailing AddressPo Box 1847Longview, WA 98632 · (380) 423-0203 · Fax (360) 577-0269
Phone(360) 577-7442
Fax(360) 577-7904
Sole ProprietorYes
Enumeration DateJune 12, 2016
Last NPPES UpdateNovember 22, 20194 updates tracked since enumeration
✔ NPI 1174972947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP 60041391
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 16R21 (OR)
305 PACIFIC AVE S STE 102, Kelso, WA 98626
Open in Google Maps ↗

Secondary Practice Locations 3

Location 127777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326 · Phone (248) 436-4400
Location 214255 SW Brigadoon Ct, noneBeaverton, OR 97005-3369 · Phone (503) 641-1475 ext. 0001 · Fax (503) 641-8548
Location 3720 14th AveLongview, WA 98632 · Phone (360) 423-0203 · Fax (360) 577-0269

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEL JONES
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
SAVANNAH E ANDREWS
Student in an Organized Health Care Education/Training Program
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203
KENNETH CASE CDPT
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
CATHY LUDAHL CDP
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
CRYSTAL WINK
Student in an Organized Health Care Education/Training Program
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203
MR. JAMES ANTHONY LAPORTA CDPT
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
TAMARA HARTGROVE SUDP
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203
KATLYNN FEAGANS
Social Worker (Clinical)
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Kern's NPI number?

The NPI number for Paul Kern is 1174972947. It was assigned to this individual provider in the NPPES registry on June 12, 2016.

Where is Paul Kern located?

Paul Kern practices at 305 Pacific Ave S Ste 102, Kelso, WA 98626. The listed phone number is (360) 577-7442.

What is Paul Kern's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Paul Kern was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.