Individual provider · Type 1 NPI
Mikayla Marie Kenneway
Mental Health Counselor · Worcester, MA
NPI number
1104580083
Active
Practice location
72 Jaques Ave # 1
Worcester, MA 01610-2476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104580083
Mikayla Marie Kenneway's National Provider Identifier is 1104580083, issued on Oct 26, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Oct 26, 2021.