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Individual
WILLIAM T KENNEDY JR.
Active
Individual
WILLIAM T KENNEDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.D.C., PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC-621
NE
101YM0800X
Mental Health Counselor
Primary
8362
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025551800
—
NE
01
—
600245205
MAGELLAN
NE
01
—
98340
BLUECROSS BLUESHIELD
NE
01
—
LADC-621
LICENSE ALCOHOL DRUG COUN
NE
01
—
PLMHP 8362
MENTAL HEALTH COUNSELOR
NE
Enumeration date
02/08/2007
Last updated
08/17/2023
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