Individual
JOHN KENNEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
249 TEMPLE AVE STE 263, NEWNAN, GA 30263-1369
(770) 282-4492
Mailing address
249 TEMPLE AVE STE 263, NEWNAN, GA 30263-1369
(770) 282-4492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008139
GA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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