Individual provider · Type 1 NPI
Patricia Kennedy, LPC
Professional Counselor · Olivette, MO
NPI number
1205962255
Active
Practice location
9374 Olivette Street
Olivette, MO 63132-3253
Fax (314) 962-4894
Mailing address
9374 Olive Street
Olivette, MO 63132-3253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001239 (MO) |
| Marriage & Family Therapist | 106H00000X | 300064 (MO) |
Professional Counselor: Definition to come...
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About NPI 1205962255
Patricia Kennedy, LPC's National Provider Identifier is 1205962255, issued on Feb 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Olivette, MO. The record was last updated on Jan 29, 2008.