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Individual
MR. KENNETH CARSWELL
Active
Individual
MR. KENNETH CARSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCPC, PTSDC, CDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
IMH 13452
FL
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
01/05/2016
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