| Doctor Name: | MR. KENNETH CHARLES SOLEM |
| NPI Number: | 1215372784 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 37PC00084200 |
| Business Practice Address: | 310 N Princeton Ave Wenonah, NJ - 080901644 |
| Business Phone Number: | 8562789362 |
| Business Fax Number: | |
| Mailing Address: | Po Box 244, WENONAH |
| State: | NJ |
| Postal Code: | 080900244 |
| Phone Number: | 8562789362 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2013 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00084200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |