Individual
CHRISTINA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 7TH AVE RM 1707, NEW YORK, NY 10001-6041
(631) 708-9300
Mailing address
23 DUDLEY LN, KINGS PARK, NY 11754-4105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P126123
NY
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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