Individual
MRS. CIARA MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
5445 LA SIERRA DR STE 200, DALLAS, TX 75231-4137
(214) 706-0619
Mailing address
6319 SHADY BROOK LN APT 2114, DALLAS, TX 75206-1441
(469) 450-2111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
94275
TX
101YM0800X
Mental Health Counselor
94275
TX
101YP2500X
Professional Counselor
Primary
94275
TX
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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