Individual
MICHAEL F KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,LMFT
Contact information
Practice address
650 E SOUTHPORT RD STE C, INDIANAPOLIS, IN 46227-8590
(317) 783-8383
(317) 782-6929
Mailing address
1288 EAGLE CREST DR, GREENWOOD, IN 46143-8324
(317) 300-0333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34001094A
IN
1041C0700X
Clinical Social Worker
Primary
34001094A
IN
Other
Enumeration date
02/14/2008
Last updated
08/28/2023
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