Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Charles Chadwick Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790201432

Kenneth Charles Chadwick Jr. is an Addiction (Substance Use Disorder) Counselor in Indio, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

44199 Monroe St
Indio, CA 92201-3096
Phone: (760) 863-7148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 130717 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1466610422 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence R1466610422 (CA)
Peer Specialist Taxonomy 175T00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1790201432
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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