Individual
JENNIFER KENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
1308 5TH AVE N, SAUK RAPIDS, MN 56379-2240
(320) 260-7665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305295
MN
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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