Individual provider · Type 1 NPI

Ilyse Kennedy, LPC

Mental Health Counselor · Austin, TX

NPI number 1073157855 Active

Practice location

2113 Riddle Rd
Austin, TX 78748-1305

Call (512) 766-9702 Map

Mailing address

6609 Manchaca Rd
Austin, TX 78745-4934

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X78789 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1073157855

Ilyse Kennedy, LPC's National Provider Identifier is 1073157855, issued on Nov 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Nov 5, 2022.