Individual
ANGEL KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 SYCAMORE WAY, BRANFORD, CT 06405-6551
(203) 800-7177
Mailing address
220 OBERLIN RD, HAMDEN, CT 06514-4308
(203) 500-6822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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