Individual
WENDY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 265-8338
(602) 265-8574
Mailing address
404 W AERO DR, PAYSON, AZ 85541-5407
(928) 474-3303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-0037
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-0037
STATE
AZ
Enumeration date
09/29/2008
Last updated
10/30/2008
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