Individual
MARK GLENN KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
725 NORTH STREET, PITTSFIELD, MA 01201-8501
(413) 447-2655
(413) 447-2656
Mailing address
725 NORTH STREET, DEPT OF PSYCHIATRY, PITTSFIELD, MA 01201-8501
(413) 447-2655
(413) 447-2656
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
814
MA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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