Individual
DR. CHARLES MCGUFFIN KENTNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1776 S JACKSON ST, SUITE 205, DENVER, CO 80210-3801
(720) 226-6080
(720) 336-8581
Mailing address
1776 S JACKSON ST, SUITE 205, DENVER, CO 80210-3801
(720) 226-6080
(720) 336-8581
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3597
CO
103TC0700X
Clinical Psychologist
Primary
3597
CO
103TC1900X
Counseling Psychologist
3597
CO
Other
Enumeration date
03/14/2007
Last updated
06/03/2015
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