Individual
ASHYA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPCA, NCC
Contact information
Practice address
609 S NEW HOPE RD STE 102, GASTONIA, NC 28054-4825
(704) 208-1865
Mailing address
2618 BARRINGER DR, CHARLOTTE, NC 28208-7007
(307) 399-6442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
06/03/2020
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