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Individual
MR. KENNARD DAVID JONES
Active
Individual
MR. KENNARD DAVID JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001587
VA
106H00000X
Marriage & Family Therapist
0717000041
VA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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