# KENNEDY COUNSELING COLLECTIVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629579677
- **Authorized official:** HEIDI VANDERWERFF LICSW (CO-OWNER)
- **Authorized official phone:** (202) 630-0496

## Contact information

- **Practice address:** 508 KENNEDY ST NW STE 300, WASHINGTON, DC 20011-3010
- **Practice address phone:** (202) 630-0496
- **Mailing address:** 508 KENNEDY ST NW STE 300, WASHINGTON, DC 20011-3010
- **Mailing address phone:** (202) 630-0496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2018
- **Last updated:** 02/26/2018