Individual
MRS. KASANDRA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
550 W. SPERRY STREET, HEPPNER, OR 97836
(541) 676-9161
(541) 676-5662
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
(541) 676-5662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L7864
OR
Other
Enumeration date
10/17/2013
Last updated
01/17/2019
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