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Individual
MS. KENYON T THIBEAUX
Active
Individual
MS. KENYON T THIBEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCDCI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
66995
TX
101YP2500X
Professional Counselor
Primary
66995
TX
Other
Enumeration date
05/26/2012
Last updated
05/26/2012
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