Individual provider · Type 1 NPI

Charles M. Kennedy, NCAC II

Counselor · Dallas, OR

NPI number 1730320805 Active

Practice location

171 SW Court St
Dallas, OR 97338-3112

Call (503) 831-1423 Map

Fax (503) 831-1573

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X97-04-91 (OR)

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 1730320805

Charles M. Kennedy, NCAC II's National Provider Identifier is 1730320805, issued on Mar 18, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dallas, OR. The record was last updated on Mar 18, 2009.