Individual
REBECCA ANNE KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 US ROUTE 1, SCARBOROUGH, ME 04074-8904
(207) 533-3378
Mailing address
16 DALTON ST, PORTLAND, ME 04103-5212
(913) 620-0270
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC8136
ME
101YM0800X
Mental Health Counselor
Primary
XL6282
ME
Other
Enumeration date
03/18/2022
Last updated
01/21/2026
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