Individual
MS. LORI L KENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, MAC, MCAP, CRC
Contact information
Practice address
2750 N MCMULLEN BOOTH RD STE 102A, CLEARWATER, FL 33761-3362
(727) 560-7632
Mailing address
768 89TH AVE N, ST PETERSBURG, FL 33702-3014
(727) 560-7632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH15343
FL
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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