Individual
MR. JARON BEAU KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P. C.
Contact information
Practice address
1430 WILKINS CIRCLE, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Mailing address
1430 WILKINS CIRCLE, CASPER, WY 82601-1336
(307) 237-9583
(307) 265-7277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1306
WY
Other
Enumeration date
03/01/2011
Last updated
10/24/2014
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