Individual
MRS. KRISTINE LOUANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CADC
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3370
(641) 774-3261
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3370
(641) 774-3261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09054
IA
Other
Enumeration date
06/30/2009
Last updated
03/31/2015
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