Individual provider · Type 1 NPI

Dearlo Kennedy, CLINICAL DIRECTOR

Addiction (Substance Use Disorder) Counselor · Philadelphia, PA

NPI number 1407449028 Active

Practice location

100 S Broad St Ste 2230
Philadelphia, PA 19110-1021

Call (267) 704-9669 Map

Fax (267) 541-2658

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1407449028

Dearlo Kennedy, CLINICAL DIRECTOR's National Provider Identifier is 1407449028, issued on Feb 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 15, 2021.