Individual provider · Type 1 NPI

Tara Lynn Kennedy, MA

Mental Health Counselor · Vancouver, WA

NPI number 1154871853 Active

Practice location

1601 E 4th Plain Blvd, Bldg 17 Ste B222
Vancouver, WA 98661-3713

Call (360) 397-8484 Map

Fax (360) 397-8494

Mailing address

PO Box 1845
Vancouver, WA 98668-1845

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60703533 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1154871853

Tara Lynn Kennedy, MA's National Provider Identifier is 1154871853, issued on Oct 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Oct 6, 2016.