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Individual

DR. JAMES RYAN KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LP, LAC, LMFT, RN

Contact information

Practice address
5833 E 33RD AVE, DENVER, CO 80207-2112
(303) 399-9988
(303) 399-9977
Mailing address
PO BOX 7040, DENVER, CO 80207-0040
(303) 399-9988
(303) 399-9977

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
492
CO
101YP2500X
Professional Counselor
1570
CO
103TC0700X
Clinical Psychologist
Primary
5731
CO
106H00000X
Marriage & Family Therapist
804
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
116891
CO

Other

Enumeration date
06/20/2012
Last updated
01/25/2023
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