Gary Kenyon

NPI #1790141687 in Avondale, Arizona

Provider Information

NPI Number: 1790141687
Entity Type: Individual
Name: Gary Kenyon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jan 7, 2016
Last Updated: Jan 7, 2016

Practice Location

Address: 12918 W PALM LN
City: Avondale
State: Arizona
ZIP Code: 85392-7153
Phone: (469) 781-8182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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