Kenneth Edward Serkownek
Counseling Psychologist
770 Se Kane St
Roseburg
, Oregon 97470-3943
Kenneth Edward Serkownek
Counseling Psychologist
770 Se Kane St
Roseburg
, Oregon 97470-3943
(541) 673-2270
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Kenneth Edward Serkownek
- 770 Se Kane St
- Roseburg, OR
- Zip : 97470-3943
- Fax : (541) 673-2270
- Phone : (541) 673-0057
Second Address
- Kenneth Edward Serkownek
- 770 Se Kane St
- Roseburg, OR
- Zip : 97470-3943
- Fax : (541) 673-2270
- Phone : (541) 673-0057
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 587 | OR |
National Provider Identifier
| NPI | 1033356423 |
|---|---|
| Provider Name | Kenneth Edward Serkownek |
| First Address | Roseburg, OR 97470-3943 |
| Second Address | Roseburg, OR 97470-3943 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2009 |
| Last Update Date | 12/01/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.