person
Kenneth Province
Professional Counselor in Wilkesboro, North Carolina
NPI 1619292042

Kenneth Province is a Professional Counselor based in Wilkesboro, NC and is specialized in Professional. Kenneth Province practices in Wilkesboro, NC. The NPI Number for Kenneth Province is 1619292042 and holds a License No. A7810 (North Carolina).

The current practice location address for Kenneth Province is 1355 Brushy Mountain Rd, Wilkesboro, NC and can be reached out via phone at 336-818-0733.

Location: 1355 Brushy Mountain Rd, Wilkesboro, NC, 28697-8478
person
Provider Profile Details
NPI Number
1619292042
Provider Name
Kenneth Province
Credential
Provider Entity Type
Individual
Gender
Male
Address
1355 Brushy Mountain Rd, Wilkesboro, NC, 28697-8478
Phone Number
336-818-0733
Fax Number
Provider Enumeration Date
03/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1355 Brushy Mountain Rd
City
State
Zip
28697-8478
Phone Number
336-818-0733
Fax Number
person
Provider Business Mailing Address Details
Address
1355 Brushy Mountain Rd
City
State
Zip
28697-8478
Phone Number
336-818-0733
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A7810 (North Carolina)
Definition
Definition to come...
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