| Doctor Name: | PROF. RAYMOMD WILLIAM KENYON |
| NPI Number: | 1417095670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, NCC, DCC, CSMS |
| License Number: | 4015 |
| Business Practice Address: | 180 Longview Rd. Newland, NC - 28657 |
| Business Phone Number: | 8282604248 |
| Business Fax Number: | |
| Mailing Address: | Po Box 464, LINVILLE |
| State: | NC |
| Postal Code: | 286460464 |
| Phone Number: | 8282604248 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |