Individual provider · Type 1 NPI

Roger Kennedy

Professional Counselor · Roseburg, OR

NPI number 1891303152 Active

Practice location

1652 NW Hughwood Ct
Roseburg, OR 97471-8844

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500XC7069 (OR)

Professional Counselor: Definition to come...

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About NPI 1891303152

Roger Kennedy's National Provider Identifier is 1891303152, issued on Jul 22, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roseburg, OR. The record was last updated on Apr 4, 2023.