Individual
MR. KENNETH R SALVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
5401 WARD LAKE DR, PORT ORANGE, FL 32128-6597
(386) 424-1950
Mailing address
5401 WARD LAKE DR, PORT ORANGE, FL 32128-6597
(386) 424-1950
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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