Individual
JUDITH M KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
2620 JACKSON BLVD, RAPID CITY, SD 57702-1502
(605) 209-5540
Mailing address
PO BOX 238, LEAD, SD 57754
(605) 209-5540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT1183
SD
Other
Enumeration date
08/16/2007
Last updated
08/28/2007
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