Individual
MR. JOHN KENNETH PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
6519 8TH AVE, LOS ANGELES, CA 90043-4313
(323) 750-5167
(323) 759-2697
Mailing address
3437 W 82ND PL, INGLEWOOD, CA 90305-1602
(323) 971-0877
(323) 759-2697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16760
CA
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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