Individual provider · Type 1 NPI

Ricky Kennedy, LPC

Professional Counselor · Durant, OK

NPI number 1063961357 Active

Practice location

1001 W Main St
Durant, OK 74701-5038

Call (580) 924-7330 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X14492 (TX)
Professional Counselor Primary 101YP2500X6267 (OK)

Professional Counselor: Definition to come...

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About NPI 1063961357

Ricky Kennedy, LPC's National Provider Identifier is 1063961357, issued on Sep 27, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Durant, OK. The record was last updated on Oct 12, 2016.