Individual provider · Type 1 NPI

Destiny Rachelle Kennedy

Counselor · Wagoner, OK

NPI number 1497506455 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (918) 485-0242 Map

Fax (918) 485-0204

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPCCANDIDATE13229 (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497506455

Destiny Rachelle Kennedy's National Provider Identifier is 1497506455, issued on Mar 28, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wagoner, OK. The record was last updated on Mar 31, 2026.