Individual
BILLY GENE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
191 N NC HWY 41, BEULAVILLE, NC 28518
(910) 298-6207
(910) 298-6293
Mailing address
PO BOX 1321, BEULAVILLE, NC 28518-1321
(910) 298-6207
(910) 298-6293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-2314
NC
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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