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Individual

AMY KENNEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8767 SEMINOLE TRL STE 101, RUCKERSVILLE, VA 22968-3494
(434) 990-1744
(434) 939-9401
Mailing address
8767 SEMINOLE TRL STE 101, RUCKERSVILLE, VA 22968-3494
(434) 990-1744
(804) 819-5221

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
07010007736
VA
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/27/2018
Last updated
02/29/2024
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