Individual
DR. YVETTE M KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, LPC
Contact information
Practice address
1627 AUBURN ST, COLUMBIA, SC 29204-1411
(803) 766-6238
Mailing address
208 BOLETTE LN, COLUMBIA, SC 29229-7114
(803) 463-7105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8480
SC
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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