Individual
ADAM J KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
348 WALNUT TRL, BRISTOL, TN 37620-7053
(423) 383-3328
Mailing address
348 WALNUT TRL, BRISTOL, TN 37620-7053
(423) 383-3328
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6386
TN
Other
Enumeration date
01/24/2023
Last updated
03/09/2023
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