Harrell, Kenneth Andrew

Harrell, Kenneth Andrew is an sole proprietor health care provider with primary practice located at 117 Parkwood Ave , Macon GA 31210-5018. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harrell, Kenneth Andrew can be contacted via phone (478) 477-2220.

Contact Information

Primary practice address
117 Parkwood Ave Macon GA 31210-5018
Phone: (478) 477-2220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003458 Georgia

Profile Details

NPI number 1982809331
LBN Legal business name Harrell, Kenneth Andrew
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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