Individual
GEORGE KENNEDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 BIS RD SW, LANCASTER, OH 43130-9606
(740) 653-4324
Mailing address
5900 BIS RD SW, LANCASTER, OH 43130-9606
(740) 653-4324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
021254
OH
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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