Individual provider · Type 1 NPI
John Kennedy Jr., M.A.
Counselor · Lynwood, CA
NPI number
1003239807
Active
Practice location
3737 Martin Luther King Jr Blvd, Suite 550
Lynwood, CA 90262-3513
Fax (310) 609-0301
Mailing address
7291 Talbert Ave
Huntington Beach, CA 92648-1232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1003239807
John Kennedy Jr., M.A.'s National Provider Identifier is 1003239807, issued on Jan 29, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lynwood, CA. The record was last updated on Apr 4, 2016.