Individual
KENNEDY HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1596 PACHECO ST STE 201, SANTA FE, NM 87505-3960
(505) 717-1155
Mailing address
4129 S MEADOWS RD APT 326, SANTA FE, NM 87507-3064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
08/13/2021
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