Individual
SIYUAN CHEN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPC LPC NCC BC-TMH
Contact information
Practice address
108 SANDSTONE DRIVE, BRANDON, MS 39047
(601) 842-4957
Mailing address
108 SANDSTONE DRIVE, BRANDON, MS 39047
(601) 842-4957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2584
MS
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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