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Individual
CHAD KINGERY
Active
Individual
CHAD KINGERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1718
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1718
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LIC-3401
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-25856
MT
Other
Enumeration date
04/21/2014
Last updated
11/22/2024
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