Individual
MR. KENNETH WAYNE MCCOWN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, MAC
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0948
(703) 805-9025
Mailing address
6806 WEMBERLY WAY, MC LEAN, VA 22101-1531
(703) 356-8266
(703) 805-0788
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1432
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1432
LPC
AL
Enumeration date
12/05/2005
Last updated
07/08/2007
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