Provider Information for 1821360405
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mr. JOHN KENNETH FLOWERS Jr. LPC
Other Names:Professional Name:KEN FLOWERSSex: Male
NPI: 1821360405
Last Updated: 2024-01-08
Certification Date: 2024-01-08
Certification Date: 2024-01-08
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821360405 | ||||||||||||||||
| Enumeration Date | 2012-01-30 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 3865 MANZANITA PL ALEXANDRIA, VA 22309-1429 United States Phone: 703-220-2727 | Fax: | ||||||||||||||||
| Primary Practice Address | 3865 MANZANITA PL ALEXANDRIA, VA 22309-1429 United States Phone: 703-220-2727 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|