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Individual
KENETRA DEVONNE DANDRIDGE
Active
Individual
KENETRA DEVONNE DANDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20215
NC
101YM0800X
Mental Health Counselor
Primary
15759
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21286
—
NC
Enumeration date
07/21/2014
Last updated
02/18/2025
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