Individual
MR. KEVIN LUCAS LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NCC, LADAC II
Contact information
Practice address
37 SANDSTONE CIR STE 92, JACKSON, TN 38305-3168
(731) 265-6025
Mailing address
821 MERRYWOOD GLN APT 3, MEMPHIS, TN 38117-5065
(901) 486-1155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1713
TN
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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