Individual
ANDREA B KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
Mailing address
12125 OHERN ST, OMAHA, NE 68137-2116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2178
NE
101YM0800X
Mental Health Counselor
14078
NE
Other
Enumeration date
08/13/2024
Last updated
10/04/2024
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