Individual
MRS. TONYA KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 392-2975
(423) 392-2983
Mailing address
411 DOGWOOD TRL, PINEY FLATS, TN 37686-4314
(423) 773-3509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6322
TN
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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