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Kenneth J Stephenson, LPC
Counselor in Indian Trail, North Carolina
NPI 1902023252

Kenneth J Stephenson is a Counselor based in Mount Holly, NC. Kenneth J Stephenson practices in Indian Trail, NC and has the professional credentials of LPC. The NPI Number for Kenneth J Stephenson is 1902023252 and holds a License No. 4811 (North Carolina).

The current practice location address for Kenneth J Stephenson is 4389 Indian Trail Fairview Rd Ste 23, Indian Trail, NC and can be reached out via phone at 704-526-9905.

Location: 4389 Indian Trail Fairview Rd Ste 23, Indian Trail, NC, 28120-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902023252
Provider Name
Kenneth J Stephenson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4389 Indian Trail Fairview Rd Ste 23, Indian Trail, NC, 28120-3004
Phone Number
704-526-9905
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11871065 01 NC CAQH
0312590692 01 NC LIABILITY INSURANCE HPSO
6102986 05 NC
9727178 01 NC AETNA
institution
Provider Business Practice Location Address Details
Address
4389 Indian Trail Fairview Rd Ste 23
City
Indian Trail
State
North Carolina
Zip
28079-9649
Phone Number
704-526-9905
Fax Number
person
Provider Business Mailing Address Details
Address
4389 Indian Trail Fairview Rd Ste 23
City
Indian Trail
State
North Carolina
Zip
28079-9649
Phone Number
704-526-9905
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4811 (North Carolina)
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.
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