Individual
MR. DAVID WILLIS KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
930 ALICEA RD, LAKELAND, FL 33810
(863) 680-1950
Mailing address
925 S FLORAL AVE, BARTOW, FL 33830
(863) 534-8211
(863) 534-8211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP3269
FL
1041C0700X
Clinical Social Worker
Primary
SW5054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762848000
—
FL
Enumeration date
06/22/2006
Last updated
10/29/2015
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