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Individual

SHANA KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MHSP

Contact information

Practice address
10261 KINGSTON PIKE, KNOXVILLE, TN 37922-3276
(814) 516-7155
Mailing address
716 VILLA CREST DR, KNOXVILLE, TN 37923-6321

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7471
TN

Other

Enumeration date
10/31/2024
Last updated
10/31/2024
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