Individual
BONNIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
22790 SW 112TH AVE, MIAMI, FL 33170-7602
(305) 235-2616
(305) 235-6178
Mailing address
8590 SW 212TH ST, #212, CUTLER BAY, FL 33189-3755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11499
FL
Other
Enumeration date
09/28/2009
Last updated
10/09/2018
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