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

Kenneth Supin

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003777947

Kenneth Supin is an Addiction (Substance Use Disorder) Counselor in Oxnard, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2150 N Victoria Ave
Oxnard, CA 93036-7791
Phone: (818) 431-7472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1003777947
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address2150 N Victoria Ave, Oxnard, CA 93036-7791

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