Provider Demographics
NPI:1306452164
Name:KENT, CHANNING (NCC, LCMHC)
Entity type:Individual
Prefix:
First Name:CHANNING
Middle Name:
Last Name:KENT
Suffix:
Gender:F
Credentials:NCC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 FINALEE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2544
Mailing Address - Country:US
Mailing Address - Phone:828-595-3917
Mailing Address - Fax:888-251-2669
Practice Address - Street 1:1000 CENTREPARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1265
Practice Address - Country:US
Practice Address - Phone:828-595-3917
Practice Address - Fax:888-251-2669
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15871101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health