Individual
MR. JOHN KENNEDY EDMOND SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1036 BRANCHVIEW DR, SUITE 201, CONCORD, NC 28025-2998
(704) 793-9593
(704) 795-0825
Mailing address
1036 BRANCHVIEW DR, SUITE 201, CONCORD, NC 28025-2998
(704) 793-9593
(704) 795-0825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603176
—
NC
05
—
6603333
—
NC
05
—
6603560
—
NC
Enumeration date
01/08/2007
Last updated
07/09/2007
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