Individual
BRENDA SUE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2811 MAYSVILLE PIKE, ZANESVILLE, OH 43701-9772
(740) 487-1474
Mailing address
110 HIGHLAND AVE, CIRCLEVILLE, OH 43113-1208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
RL651409
OH
Other
Enumeration date
04/30/2018
Last updated
08/07/2024
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