Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA MARIE KENNEL, LCDC, LSBW
ActiveWANDA MARIE KENNEL, LCDC, LSBW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GILMER, Texas. NPI 1144278714 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GILMER, TX
Registration Details
- NPI Number
- 1144278714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2006 (20.258292358035 yrs)
- Last Updated
- Sep 17, 2007
- License
-
5922 (TX)
Practice Information
- Address
-
6563 HIGHLAND RDGILMER, TX, 756458279Browse TX providers · Browse ZIP 75645
- Phone
- 9037345592
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in GILMER, TX
| Name | Credential | NPI |
|---|---|---|
| SHANE MICHELL JACKSON | LPC | 1922173897 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.