Individual
CODY KENNETH SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2459 W PERSHING ST APT 22, APPLETON, WI 54914-6038
(715) 412-2401
Mailing address
2459 W PERSHING ST APT 22, APPLETON, WI 54914-6038
(715) 412-2401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10725-125
WI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/13/2023
Last updated
07/12/2024
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