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Individual
DR. KENNARD NEARS
Active
Individual
DR. KENNARD NEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5129
NC
101YM0800X
Mental Health Counselor
Primary
005130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526553690B
—
GA
05
—
6103009
—
NC
Enumeration date
01/14/2007
Last updated
04/01/2019
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