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Individual

DR. KENNETH MICHAEL MCEAHERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD LCAS

Contact information

Practice address
1823 1ST AVE NE, HICKORY, NC 28601
(828) 322-7456
Mailing address
1823 1ST AVE NE, HICKORY, NC 28601
(828) 322-7456

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
22232
NC
103TC1900X
Counseling Psychologist

Other

Enumeration date
01/25/2013
Last updated
04/28/2021
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