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Individual

MS. PATRICIA LEE KENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW MAC SAP

Contact information

Practice address
717 E ELMER ST, STE 6, VINELAND, NJ 08360-4758
(856) 691-2424
(856) 691-2433
Mailing address
717 E ELMER ST, STE 6, VINELAND, NJ 08360-4758
(856) 691-2424
(856) 691-2433

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12286
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
22021
NJ
1041C0700X
Clinical Social Worker
44SC04764600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
232130
AMERI HEALTH PPO PIN 4000
NJ
Enumeration date
11/29/2006
Last updated
09/11/2025
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