Individual provider · Type 1 NPI
Melba Joyce Kennedy, LCDC
Addiction (Substance Use Disorder) Counselor · Lufkin, TX
NPI number
1205994035
Active
Practice location
4101 S Medford Dr
Lufkin, TX 75901-5633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1739-1005 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205994035
Melba Joyce Kennedy, LCDC's National Provider Identifier is 1205994035, issued on Dec 5, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lufkin, TX. The record was last updated on Jul 8, 2007.