Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIRGINIA MAE KENNEDY, CDPT
ActiveVIRGINIA MAE KENNEDY, CDPT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LITTLE ROCK, Washington. NPI 1689141103 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LITTLE ROCK, WA
Registration Details
- NPI Number
- 1689141103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2018 (7.5995144448376 yrs)
- Last Updated
- Nov 2, 2018
- License
-
60537602 (WA)
Practice Information
- Address
-
12200 BORDEAUX RDLITTLE ROCK, WA, 98556Browse WA providers · Browse ZIP 98556
- Phone
- 3603594075
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.