Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTE ANN KENNEY, LADC
Active Sole ProprietorJEANETTE ANN KENNEY, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WATERFORD, Connecticut. NPI 1780206425 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WATERFORD, CT
Registration Details
- NPI Number
- 1780206425
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2020 (6.2359661959807 yrs)
- Last Updated
- Jun 1, 2020
- License
-
001263 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
567 VAUXHALL STREET EXTWATERFORD, CT, 063854330Browse CT providers · Browse ZIP 06385
- Phone
- 8606083404
- Fax
- 8608892876
- 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.