| Doctor Name: | MR. KENNETH LLOYD |
| NPI Number: | 1003038258 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICDC, LSW |
| License Number: | 841092 |
| Business Practice Address: | 320 High St Ne Warren, OH - 444811222 |
| Business Phone Number: | 3303949090 |
| Business Fax Number: | 3303948163 |
| Mailing Address: | 320 High St Ne, WARREN |
| State: | OH |
| Postal Code: | 444811222 |
| Phone Number: | 3303949090 |
| Fax Number: | 3303948163 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 841092 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |