Individual
MR. KENDALL JERMAINE GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPCA
Contact information
Practice address
110 W WALKER AVE, ASHEBORO, NC 27203-6760
(336) 633-7000
(336) 625-3817
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A12548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326490777
—
NC
01
—
19NKM
BCBS
NC
Enumeration date
07/11/2016
Last updated
07/21/2022
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