Individual
MS. RITA MARIE KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2007011991
MO
101YP2500X
Professional Counselor
Primary
P1602023
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007011991
PROVISIONAL LICENSE PROFESSIONAL COUNSELOR
MO
01
—
P1602023
ARKANSAS BOARD OF EXAMINERS IN COUNSELING
AR
Enumeration date
06/20/2009
Last updated
03/17/2018
Update your record
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