Individual provider · Type 1 NPI
Carmen Kennedy
Addiction (Substance Use Disorder) Counselor · Indianapolis, IN
NPI number
1154976546
Active
Practice location
4710 E 30th St
Indianapolis, IN 46218-3109
Mailing address
1624 N Lesley Ave
Indianapolis, IN 46218-5046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1154976546
Carmen Kennedy's National Provider Identifier is 1154976546, issued on Aug 2, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 7, 2023.