Individual
KENTRELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
4110 US HIGHWAY 31 S, DECATUR, AL 35603-1644
(256) 260-1691
(256) 341-0747
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 260-7361
(256) 341-0747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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