Individual
MARISA KENNEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 EASTSIDE SQ STE 3B, HUNTSVILLE, AL 35801-4858
(256) 563-6255
Mailing address
221 EASTSIDE SQ STE 3B, HUNTSVILLE, AL 35801-4858
(256) 563-6255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4525
AL
Other
Enumeration date
03/10/2023
Last updated
03/10/2026
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