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John Gordon Kenyon JR., MSLPC
Addiction (Substance Use Disorder) Counselor in State College, Pennsylvania
NPI 1851449367

John Gordon Kenyon JR. is an Addiction (Substance Use Disorder) Counselor based in State College, PA and is specialized in Addiction (Substance Use Disorder). John Gordon Kenyon JR. practices in State College, PA and has the professional credentials of MSLPC. The NPI Number for John Gordon Kenyon JR. is 1851449367 and holds a License No. PC000714 (Pennsylvania).

The current practice location address for John Gordon Kenyon JR. is 444 E College Ave, State College, PA and can be reached out via phone at 814-231-0940 and via fax at 814-231-4702.

Location: 444 E College Ave, State College, PA, 16801-5558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851449367
Provider Name
John Gordon Kenyon JR.
Credential
MSLPC
Provider Entity Type
Individual
Gender
Male
Address
444 E College Ave, State College, PA, 16801-5558
Phone Number
814-231-0940
Fax Number
814-231-4702
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
444 E College Ave
City
State College
State
Pennsylvania
Zip
16801-5558
Phone Number
814-231-0940
Fax Number
814-231-4702
person
Provider Business Mailing Address Details
Address
444 E College Ave
City
State College
State
Pennsylvania
Zip
16801-5558
Phone Number
814-231-0940
Fax Number
814-231-4702
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
PC000714 (Pennsylvania)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
PC000714 (Pennsylvania)
Definition
Definition to come...
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