Individual provider · Type 1 NPI

Lakisha Dominique Kennedy

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1861067969 Active

Practice location

1775 Chestnut Ave
Long Beach, CA 90813-1674

Fax (562) 591-6134

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 1861067969

Lakisha Dominique Kennedy's National Provider Identifier is 1861067969, issued on May 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on May 21, 2021.