Jon Kendrick, LCSW
Social Worker, Clinical in Atlanta, GA. Individual provider (NPI-1).
NPI number1851605331
StatusActive
Last updated in NPPESDec 3, 2022
Details
- NPI
- 1851605331
- Entity type
- Individual (NPI-1)
- Name
- Jon Kendrick
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2010
- Certification date
- Dec 3, 2022
- Last updated
- Dec 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW004750 | GA | Yes |
Practice location
5901 Peachtree Dunwoody Rd Ste A-225Atlanta, GA 30328-5382
Phone 404-955-9788
Mailing address
929 Myrtle St NeAtlanta, GA 30309-4146
Phone 678-770-8900
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