Individual
ALLYSA MEGAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-I
Contact information
Practice address
1001 TOWER WAY STE 150A, BAKERSFIELD, CA 93309-1597
(661) 634-9877
Mailing address
1001 TOWER WAY STE150A #4, BAKERSFIELD, CA 93309-4509
(661) 634-9877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1376260120
CA
Other
Enumeration date
04/06/2021
Last updated
06/03/2022
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