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Organization
KENNEDY PSYCHOTHERAPY, PLLC
Active
Organization
KENNEDY PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E KENNEDY LPC (SOLE MEMBER)
(512) 965-8586
Entity
Organization
Contact information
Practice address
4422 PACK SADDLE PASS, SUITE 101, AUSTIN, TX 78745-1681
(512) 445-3494
Mailing address
4422 PACK SADDLE PASS, SUITE 101, AUSTIN, TX 78745-1681
(512) 445-3494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63604
TX
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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