Individual
MS. PAMELA K KENNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2305 E ARAPAHOE RD, SUITE 242, CENTENNIAL, CO 80122-1522
(303) 730-1144
(303) 300-9222
Mailing address
2305 E ARAPAHOE RD, SUITE 242, CENTENNIAL, CO 80122-1522
(303) 730-1144
(303) 300-9222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9554
CO
106H00000X
Marriage & Family Therapist
9554
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508100488
NATIONAL PROVIDER ID
CO
Enumeration date
08/20/2009
Last updated
11/16/2012
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