Individual
MARK S KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
280 UNION ST, 2ND FLOOR, LYNN, MA 01901-1353
(781) 581-9270
(781) 581-8413
Mailing address
PO BOX 390, LYNN, MA 01903-0490
(781) 593-5333
(781) 581-2177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
105281
MA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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