GREG KENNON

AUSTIN, TX
NPI1750502670
Other NameGREGORY CARL KENNON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  2707)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Mr. GREG KENNON LCDC
1631 E 2ND ST STE A
AUSTIN, TX 78702-4491
Phone number: 512-472-6261
Mailing Address
Mr. GREG KENNON LCDC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-445-7787