Individual
MR. JAMES ALLEN KENNEDY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
10700 STATE BRIDGE RD, JOHNS CREEK, GA 30022-7491
(888) 892-8178
Mailing address
917 RIVERSTONE WAY, WOODSTOCK, GA 30188-2973
(404) 426-1642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
926
GA
Other
Enumeration date
05/04/2007
Last updated
06/14/2016
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