Individual
LAYKENN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
6100 E MAIN ST, FARMINGTON, NM 87402-3034
(505) 326-7878
Mailing address
6100 E MAIN ST, FARMINGTON, NM 87402-3034
(505) 326-7878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
02/02/2023
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