person
Kenneth A Street, LPC
Mental Health Counselor in Rainbow City, Alabama
NPI 1023019932

Kenneth A Street is a Mental Health Counselor based in Rainbow City, AL and is specialized in Mental Health. Kenneth A Street practices in Rainbow City, AL and has the professional credentials of LPC. The NPI Number for Kenneth A Street is 1023019932 and holds a License No. 2004 (Alabama).

The current practice location address for Kenneth A Street is 3413 Rainbow Pkwy Ste A, Rainbow City, AL and can be reached out via phone at 256-490-6423 and via fax at 256-380-5857.

Location: 3413 Rainbow Pkwy Ste A, Rainbow City, AL, 35906-3234
person
Provider Profile Details
NPI Number
1023019932
Provider Name
Kenneth A Street
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3413 Rainbow Pkwy Ste A, Rainbow City, AL, 35906-3234
Phone Number
256-490-6423
Fax Number
256-380-5857
Provider Enumeration Date
08/02/2005
Last Update Date
01/18/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2004 01 AL LPC
institution
Provider Business Practice Location Address Details
Address
3413 Rainbow Pkwy Ste A
City
State
Zip
35906-3234
Phone Number
256-490-6423
Fax Number
256-380-5857
person
Provider Business Mailing Address Details
Address
3413 Rainbow Pkwy Ste A
City
State
Zip
35906-3234
Phone Number
256-490-6423
Fax Number
256-380-5857
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2004 (Alabama)
Definition
Definition to come...
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