Individual
MR. KEN E MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1423 SIMEONOF ST, KODIAK, AK 99615-6452
(530) 515-1089
(530) 241-9221
Mailing address
1423 SIMEONOF ST., KODIAK, AK 99615
(530) 515-1089
(530) 241-9221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC37996
CA
Other
Enumeration date
01/15/2007
Last updated
11/06/2009
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