Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Michael Kerckhoff

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225894033

Michael Kerckhoff is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

505 S Pacific Ave
San Pedro, CA 90731-2656
Phone: (310) 519-8723
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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 · Licence 24722 (CA)

Record details

NPI number1225894033
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

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