Individual
RAYMOND VERNON KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 S COLLEGE ST, BRANDON, MS 39042-3605
(601) 906-6742
Mailing address
721 S COLLEGE ST, BRANDON, MS 39042-3605
(601) 906-6742
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-0585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-0585
STATE LICENSE NUMBER LPC
MS
Enumeration date
02/03/2021
Last updated
02/03/2021
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