Nears, Kennard

Nears, Kennard is an sole proprietor health care provider with primary practice located at 187 Shenandoah Dr , Riverdale GA 30274-3247. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Nears, Kennard can be contacted via phone (919) 395-3622.

Contact Information

Primary practice address
187 Shenandoah Dr Riverdale GA 30274-3247
Phone: (919) 395-3622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5129 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005130 Georgia

Profile Details

NPI number 1881745263
LBN Legal business name Nears, Kennard
Credentials M.S., LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2007
Last updated Apr 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881745263 NPPES
Georgia MEDICAID 526553690B
Georgia MEDICAID 6103009

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