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Individual

KEVIN GEORGE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC, NCC

Contact information

Practice address
1 BREVARD COLLEGE DR, BREVARD, NC 28712-4283
(317) 450-8668
Mailing address
1 BREVARD COLLEGE DR, BREVARD, NC 28712-4283

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15470
NC
101YM0800X
Mental Health Counselor
15470
NC
101YP2500X
Professional Counselor
15470
NC

Other

Enumeration date
01/09/2022
Last updated
10/27/2023
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