Individual
KEVIN RAYMOND DENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCAS
Contact information
Practice address
119 W WATER ST STE C, STATESVILLE, NC 28677-5282
(704) 763-0851
Mailing address
412 EASTSIDE DR, STATESVILLE, NC 28625-5445
(704) 838-1497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/22/2007
Last updated
05/08/2018
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