person
Kenneth Medlock, LCDC,CEAP
Addiction (Substance Use Disorder) Counselor in Houston, Texas
NPI 1396458899

Kenneth Medlock is an Addiction (Substance Use Disorder) Counselor based in Houston, TX and is specialized in Addiction (Substance Use Disorder). Kenneth Medlock practices in Houston, TX and has the professional credentials of LCDC,CEAP. The NPI Number for Kenneth Medlock is 1396458899 and holds a License No. 33084 (Texas).

The current practice location address for Kenneth Medlock is 9950 Town Park Dr Apt 1202, Houston, TX and can be reached out via phone at 832-754-8001.

Location: 9950 Town Park Dr Apt 1202, Houston, TX, 77036-2356
person
Provider Profile Details
NPI Number
1396458899
Provider Name
Kenneth Medlock
Credential
LCDC,CEAP
Provider Entity Type
Individual
Gender
Male
Address
9950 Town Park Dr Apt 1202, Houston, TX, 77036-2356
Phone Number
832-754-8001
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9950 Town Park Dr Apt 1202
City
State
Zip
77036-2356
Phone Number
832-754-8001
Fax Number
person
Provider Business Mailing Address Details
Address
9950 Town Park Dr Apt 1202
City
State
Zip
77036-2356
Phone Number
832-754-8001
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5845 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
33084 (Texas)
Definition
Definition to come...
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