Individual
JAMIE NICOLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 874-8686
(573) 874-8608
Mailing address
360 SHADY GRV, NEW BLOOMFIELD, MO 65063-1429
(573) 874-8686
(573) 874-8608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011008109
MO
Other
Enumeration date
04/11/2011
Last updated
01/23/2024
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