Doctor Name: | JOHN GORDON KENYON |
NPI Number: | 1851449367 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS LPC |
License Number: | PC000714 |
Business Practice Address: | 444 E College Ave #460 State College, PA - 168015558 |
Business Phone Number: | 8142310940 |
Business Fax Number: | 8142314702 |
Mailing Address: | 444 E College Ave, #460 STATE COLLEGE |
State: | PA |
Postal Code: | 168015558 |
Phone Number: | 8142310940 |
Fax Number: | 8142314702 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC000714 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |