Individual
KENNETH M BLEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1809 RIVER RD, FORT VALLEY, GA 31030-7029
(478) 827-3224
Mailing address
1809 RIVER RD, FORT VALLEY, GA 31030-7029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007798
GA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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