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Individual
MRS. TAMARA LYN KENNING
Active
Individual
MRS. TAMARA LYN KENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LPC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1054
NE
101YM0800X
Mental Health Counselor
Primary
1171
NE
101YP2500X
Professional Counselor
2063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600980624
—
NE
Enumeration date
01/13/2012
Last updated
01/19/2017
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