Individual
CHRISTINE JOAN KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1268 MAIN ST, SUITE #101, NEWINGTON, CT 06111-3038
(203) 484-4619
Mailing address
55 SKYLARK DR, NORTHFORD, CT 06472-1232
(203) 484-4619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
574
CT
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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