institution
Dr Kenneith Durden Outreach
Professional Counselor in Port Wentworth, Georgia
NPI 1699120410

Dr Kenneith Durden Outreach is a Professional Counselor based in Port Wentworth, GA and is specialized in Professional. Dr Kenneith Durden Outreach practices in Port Wentworth, GA. The NPI Number for Dr Kenneith Durden Outreach is 1699120410 and holds a License No. (Georgia).

The current practice location address for Dr Kenneith Durden Outreach is 41 Moonlight Trl, Port Wentworth, GA and can be reached out via phone at 404-909-2442.

Location: 41 Moonlight Trl, Port Wentworth, GA, 31407-3321
institution
Provider Profile Details
NPI Number
1699120410
Provider Name
Dr Kenneith Durden Outreach
Credential
Provider Entity Type
Organization
Address
41 Moonlight Trl, Port Wentworth, GA, 31407-3321
Phone Number
404-909-2442
Fax Number
Provider Enumeration Date
04/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
803411511B 05 GA
institution
Provider Business Practice Location Address Details
Address
41 Moonlight Trl
City
State
Zip
31407-3321
Phone Number
404-909-2442
Fax Number
person
Provider Business Mailing Address Details
Address
41 Moonlight Trl
City
State
Zip
31407-3321
Phone Number
404-909-2442
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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