Individual provider · Type 1 NPI

Autumn Rae Kennedy

Counselor · Ephraim, UT

NPI number 1871803288 Active

Practice location

90 N 161 W
Ephraim, UT 84627-5542

Fax (435) 283-9935

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1871803288

Autumn Rae Kennedy's National Provider Identifier is 1871803288, issued on Oct 19, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ephraim, UT. The record was last updated on Oct 19, 2010.