Individual
MR. RICKY KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1001 W MAIN ST, DURANT, OK 74701-5038
(580) 924-7330
Mailing address
1001 W MAIN ST, DURANT, OK 74701-5038
(580) 924-7330
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
14492
TX
101YP2500X
Professional Counselor
Primary
6267
OK
Other
Enumeration date
09/27/2016
Last updated
10/12/2016
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