Individual
CRAIG MICHAEL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1292 MAIN ST, ROTTERDAM JUNCTION, NY 12150-9741
(518) 464-6302
Mailing address
900 WATERVLIET SHAKER RD, ALBANY, NY 12205-1002
(518) 464-6300
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
R028361-1
NY
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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