Organization
FAMILY AND CHILDREN SUPPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNEITH DURDEN (CEO)
(478) 455-2092
Entity
Organization
Contact information
Practice address
5910 GA HIGHWAY 21 S, UNIT 6, RINCON, GA 31326-5505
(912) 988-3649
Mailing address
1639 BRADLEY PARK DR, 500, COLUMBUS, GA 31904-3620
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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