Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK TIMOTHY KENNEDY, M.A. LICDC
Active Sole ProprietorMR. JACK TIMOTHY KENNEDY, M.A. LICDC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CINCINNATI, Ohio. NPI 1861557829 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CINCINNATI, OH
Registration Details
- NPI Number
- 1861557829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.450271180435 yrs)
- Last Updated
- Jul 8, 2007
- License
-
991698 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8833 CHAPELSQUARE LNCINCINNATI, OH, 452494705Browse OH providers · Browse ZIP 45249
- Phone
- 5137749444
- Fax
- 5137749888
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CINCINNATI, OH
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD P BREWER | EDD | 1306841689 |
| MR. CHRISTOPHER MICHAEL WEBER | MSSA, LISW, LICDC | 1427091495 |
| MS. ELEANOR M MALEY | LISW -S LICDC-CS | 1508931296 |
| ROBERT MICHAEL SAUERLAND | PHD MSW LISW LICDC | 1558410852 |
| SANDRA MARY CULLEN | LICDC | 1033253885 |
| CARLA R MANNING | LISW, CCDCI | 1790820751 |
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.