Individual
MRS. ANGELICA N KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 831-0045
(505) 753-5051
Mailing address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 831-0045
(505) 753-5051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
05
—
1308785
—
MA
Enumeration date
10/30/2008
Last updated
06/18/2009
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