Organization
KENNETH CARSWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH CARSWELL MS, BCPC, PTSDC, CDC (CEO)
(870) 718-6007
Entity
Organization
Contact information
Practice address
6120 WHITEAKER RD, PINE BLUFF, AR 71603-8076
(870) 718-6007
Mailing address
6120 WHITEAKER RD, PINE BLUFF, AR 71603-8076
(870) 718-6007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
171000000X
Military Health Care Provider
Primary
IMH 13452
FL
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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