Individual
CARRIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(719) 440-2222
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(719) 440-2222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0011735
CO
101YP2500X
Professional Counselor
Primary
104435
KY
101YP2500X
Professional Counselor
8521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
07/31/2014
Last updated
02/07/2023
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