Individual
MR. SCOTT MICHAEL KENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W
Contact information
Practice address
500 COHASSET RD STE 26, CHICO, CA 95926-2260
(530) 879-2945
Mailing address
500 COHASSET RD STE 26, CHICO, CA 95926-2260
(530) 879-2945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18996
CA
1041S0200X
School Social Worker
Primary
PPSC
CA
Other
Enumeration date
09/16/2006
Last updated
09/11/2025
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