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DR. KENNEITH DURDEN LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1184895930

Individual Registrant:
DR. KENNEITH  DURDEN LPC
Gender: M
Sole Proprietor

Location and contact information for practice:
7306 GA HIGHWAY 21 STE 101-225 PORT WENTWORTH, GA 31407-9274 US
Tel: 404-909-2442  Fax: --

Contact information for business:
7306 GA HIGHWAY 21 STE 101-225 PORT WENTWORTH, GA 31407-9274 US
Tel: 404-909-2442  Fax: --

Registration Information:
NPI: 1184895930
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC005202

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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