Individual
MR. KENNARD DAVID JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
9346 WILDERNESS RD, EWING, VA 24248-8821
(276) 445-5007
Mailing address
9346 WILDERNESS RD, EWING, VA 24248-8821
(276) 445-5007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001587
VA
106H00000X
Marriage & Family Therapist
0717000041
VA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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