Individual
MR. KENNETH BLAIR MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
105 E ST STE 2E, DAVIS, CA 95616-4572
(530) 341-8180
Mailing address
1614 FARNHAM AVE, WOODLAND, CA 95776-5136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13067
CA
Other
Enumeration date
01/23/2018
Last updated
12/05/2023
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