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Individual

ANNE VIRGINIA KENYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
444 E COLLEGE AVE, SUITE 460, STATE COLLEGE, PA 16801-5558
(814) 231-0940
(814) 231-4702
Mailing address
444 E COLLEGE AVE, SUITE 460, STATE COLLEGE, PA 16801-5558
(814) 231-0940
(814) 231-4702

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002872
PA
104100000X
Social Worker
SW004567E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1722717
PA
01
2106024
CIGNA
PA
01
342657
MHN
PA
01
394700
VALUE OPTIONS
PA
Enumeration date
01/03/2007
Last updated
09/11/2025
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