Individual
JESSICA CATHERINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
313 DANIEL MILL XING, VILLA RICA, GA 30180-5156
(678) 590-9574
Mailing address
313 DANIEL MILL XING, VILLA RICA, GA 30180-5156
(678) 590-9574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009972
GA
101YP2500X
Professional Counselor
Primary
LPC016832
GA
Other
Enumeration date
01/26/2020
Last updated
05/17/2026
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