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Individual

MR. JEFFREY G KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPCC, CDCA

Contact information

Practice address
11440 HAMILTON AVE, SUITE 206, CINCINNATI, OH 45231-6103
(513) 648-9596
(513) 648-9586
Mailing address
11440 HAMILTON AVE, SUITE 206, CINCINNATI, OH 45231-6103
(513) 648-9596
(513) 648-9586

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.120697
OH
101YM0800X
Mental Health Counselor
Primary
E.1200140
OH

Other

Enumeration date
05/28/2013
Last updated
02/21/2017
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