Individual
CHRISTINA MARIE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-7442
Mailing address
617 REDFIELD AVE, MODESTO, CA 95357-1555
(209) 595-5022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
08/02/2021
Last updated
08/05/2025
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