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Individual
DR. KENNETH MICHAEL MCEAHERN
Active
Individual
DR. KENNETH MICHAEL MCEAHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
22232
NC
103TC1900X
Counseling Psychologist
—
NULL
Other
Enumeration date
01/25/2013
Last updated
04/28/2021
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