Individual
MR. THOMAS MICHAEL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
511 FORT ST RM 505, PORT HURON, MI 48060-3936
(810) 966-0099
(810) 696-7339
Mailing address
511 FORT ST RM 505, PORT HURON, MI 48060-3936
(810) 966-0099
(810) 696-7339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401005178
MI
Other
Enumeration date
09/20/2006
Last updated
01/23/2020
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