Provider Demographics
NPI:1871735506
Name:KUYKENDALL, MONTE GLENN (LPC)
Entity type:Individual
Prefix:MR
First Name:MONTE
Middle Name:GLENN
Last Name:KUYKENDALL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41 HOSPITAL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-8566
Mailing Address - Country:US
Mailing Address - Phone:706-745-5911
Mailing Address - Fax:706-781-2431
Practice Address - Street 1:41 HOSPITAL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-8566
Practice Address - Country:US
Practice Address - Phone:706-745-5911
Practice Address - Fax:706-781-2431
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC004807101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional