Individual
ALEXANDRA GRACE KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRW
Contact information
Practice address
700 EL RANCHO DR, SANTA CRUZ, CA 95060-1511
(831) 535-3884
Mailing address
700 EL RANCHO DR, SANTA CRUZ, CA 95060-1511
(831) 535-3884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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