Provider Demographics
NPI:1003411026
Name:DOYLE, KENNETH (MA, LCMHC, NCC)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MA, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4339 GARLAND JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8604
Mailing Address - Country:US
Mailing Address - Phone:828-423-3356
Mailing Address - Fax:
Practice Address - Street 1:4339 GARLAND JOHNSON RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8604
Practice Address - Country:US
Practice Address - Phone:828-423-3356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health