Individual provider · Type 1 NPI

Ciara Marie Kennedy, LPC-ASSOCIATE

Professional Counselor · Dallas, TX

NPI number 1649030107 Active

Practice location

5445 La Sierra Dr Ste 200
Dallas, TX 75231-4137

Mailing address

6319 Shady Brook Ln Apt 2114
Dallas, TX 75206-1441

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X94275 (TX)
Mental Health Counselor 101YM0800X94275 (TX)
Professional Counselor Primary 101YP2500X94275 (TX)

Professional Counselor: Definition to come...

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About NPI 1649030107

Ciara Marie Kennedy, LPC-ASSOCIATE's National Provider Identifier is 1649030107, issued on Mar 21, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Mar 21, 2024.