Individual
ANULESE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 W NEZ PERCE RD, COEUR D ALENE, ID 83815-8802
(208) 889-1563
Mailing address
4215 W NEZ PERCE RD, COEUR D ALENE, ID 83815-8802
(208) 889-1563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35959
ID
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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