Individual
MR. KEVIN B RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
844 NATCHEZ TRACE DR, LEXINGTON, TN 38351
(731) 967-8803
(731) 967-8784
Mailing address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 658-6113
(731) 658-1597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4840
TN
Other
Enumeration date
12/09/2019
Last updated
12/11/2019
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