Individual
MR. KEVIN CHRISTOPHER CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1399 KUBLI RD, GRANTS PASS, OR 97527-8632
(541) 301-5306
(541) 846-6733
Mailing address
1399 KUBLI RD, GRANTS PASS, OR 97527-8632
(541) 301-5306
(541) 846-6733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0899
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670565
—
OR
Enumeration date
03/05/2010
Last updated
10/20/2021
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