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

Korben J Chesnut-Petry, CADC1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841805959

Korben J Chesnut-Petry, CADC1 is an Addiction (Substance Use Disorder) Counselor in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

1325 Commercial St SE
Salem, OR 97302-4205
Phone: (971) 301-9574
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18-02-03 (OR)

Record details

NPI number1841805959
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC1
Sole proprietorYes
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

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