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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIMI M KENNEDY-ROSS, LPC

Active Sole Proprietor

MIMI M KENNEDY-ROSS, LPC is a Professional Counselor healthcare provider located in ORACLE, Arizona. NPI 1760927412 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · ORACLE, AZ

Registration Details

NPI Number
1760927412
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2017 (9.6302534606061 yrs)
Last Updated
Jan 4, 2017
License
LPC-16413 (AZ)
Sole Proprietor
Yes

Practice Information

Address
DODGE & MT LEMMON RD
ORACLE, AZ, 85623
Browse AZ providers · Browse ZIP 85623
Phone
5208969240
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in ORACLE, AZ

Name Credential NPI
SARAH L DAFFRON 1619002920
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.