Most Relevant Information
Provider Data
| NPI Number: | 1003038258 |
| Provider Name: | KENNETH LLOYD LICDC, LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 841092 |
Most Important Dates
| Enumeration Date: | 05/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
320 HIGH ST NE
WARREN
OH
444811222
Practice Location Phone/Fax
| Phone: | 3303949090 |
| Fax: | 3303948163 |
Provider Mailing Location
320 HIGH ST NE
WARREN
OH
444811222
Provider Mailing Phone/Fax
| Phone: | 3303949090 |
| Fax: | 3303948163 |