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

Kim Y. Waiters, CADCREGISTRANT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962190546

Kim Y. Waiters, CADCREGISTRANT is an Addiction (Substance Use Disorder) Counselor in Lebanon, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

1600 S Main St
Lebanon, OR 97355-3109
Phone: (541) 451-5932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1160 Liberty St Se, Salem, OR 97302-4143 — (503) 860-9099

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24-04-11094 (OR)

Record details

NPI number1962190546
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCREGISTRANT
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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