Individual
CASSANDRA MAE KENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAP
Contact information
Practice address
656 BEANVILLE RD, VERSHIRE, VT 05079-4424
(802) 498-5816
Mailing address
254 PLAINFIELD RD, WEST LEBANON, NH 03784-2001
(603) 298-2146
(603) 298-2149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
149.0134026
VT
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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