Individual
KENNETH ROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3255-R
GA
101YP2500X
Professional Counselor
Primary
APC009016
GA
Other
Enumeration date
08/11/2019
Last updated
07/24/2023
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