Individual
JENNA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 359-5467
Mailing address
1007 S 11TH ST, NOBLESVILLE, IN 46060-3516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003687A
IN
Other
Enumeration date
01/22/2020
Last updated
11/16/2020
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