Individual
DR. JOELLEN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13208 TURQUOISE CIR, CARMEL, IN 46033-2369
(317) 946-3708
Mailing address
13208 TURQUOISE CIR, CARMEL, IN 46033-2369
(317) 946-3708
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
34003257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34003257A
STATE LICENCE
IN
Enumeration date
01/13/2021
Last updated
01/13/2021
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