John Kenneth Proctor MSW

NPI 1316191588 - Counselor - 101YP2500X

NPI Details
NPI 1316191588
Gender Male
Enumeration Date 11/13/2008
Last Updated 11/13/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
6519 8TH AVE
LOS ANGELES CA, 90043-4313, US
Phone (323) 750-5167
Fax (323) 759-2697
Business Location
3437 W 82ND PL
INGLEWOOD CA, 90305-1602, US
Phone (323) 971-0877
Fax (323) 759-2697
Taxonomy Code 101YP2500X
License State California
License Number 16760
Remove 1316191588 NPI Number

According to our database, Mr. John Kenneth Proctor MSW NPI is 1316191588, taxonomy code is 101YP2500X and license number is 16760, license state is located at California. John Kenneth Proctor MSW physically located at 6519 8th Ave, Los Angeles CA, 90043-4313. NPI Number John Kenneth Proctor MSW has the Individual type.

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1316191588 NPI number is provided on an as is basis without warranty of any kind. 1316191588 is maintained by the National Plan & Provider Enumeration System. The contents of John Kenneth Proctor MSW are for informational purposes only.