Organization
KENNEY & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEZRA KENNEY PMHCNS-BC (OWNER)
(978) 744-2999
Entity
Organization
Contact information
Practice address
84 HIGHLAND AVE, SUITE 305, SALEM, MA 01970-2727
(978) 744-2999
Mailing address
84 HIGHLAND AVE, SUITE 305, SALEM, MA 01970-2727
(978) 744-2999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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