Individual provider · Type 1 NPI

George Kennedy Jr.

Addiction (Substance Use Disorder) Counselor · Lancaster, OH

NPI number 1124579776 Active

Practice location

5900 Bis Rd SW
Lancaster, OH 43130-9606

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X021254 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124579776

George Kennedy Jr.'s National Provider Identifier is 1124579776, issued on Oct 19, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, OH. The record was last updated on Oct 19, 2016.