Individual
KENNETH ADRIAN DENEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
17039 OAK ST, DILLWYN, VA 23936-3019
(434) 808-0604
(434) 808-0716
Mailing address
PO BOX 1166, DILLWYN, VA 23936-1166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007852
VA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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