Individual
MR. JOHN ROBERT KENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
42189 ANN ARBOR RD E, PLYMOUTH, MI 48170-4370
(734) 453-5603
(734) 453-5619
Mailing address
42189 ANN ARBOR RD E, PLYMOUTH, MI 48170-4370
(734) 453-5603
(734) 453-5619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801011264
MI
106H00000X
Marriage & Family Therapist
Primary
4101005303
MI
Other
Enumeration date
09/25/2006
Last updated
09/11/2025
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