Kenneth Wibowo Pranoto
Kenneth Wibowo Pranoto is a Mental Health Counselor in Houston, Texas. Licensed in Texas. Registered with an NPI since 2024.
- Licensed in
- TX
- In the registry since
- 2024
Practice location Address checks out
2425 Holly Hall St Apt A4Houston, TX 77054-3930
Phone: (832) 409-8767
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 108149 (TX) |
|---|
Record details
| NPI number | 1619736071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 18, 2024 |
| Last updated in NPPES | March 18, 2024 |
| Certification date | March 18, 2024 |
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