Individual
DR. JOHN THOMAS KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, LMHC
Contact information
Practice address
476 SKIFF MOUNTAIN RD, KENT, CT 06757-1112
(860) 927-0047
Mailing address
476 SKIFF MOUNTAIN RD, PO BOX 3001, KENT, CT 06757-1112
(860) 927-0047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5231
MA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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