Individual
JULIE LYNN KENNEDY-REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 TROVATO ST STE 103, BRIDGEPORT, WV 26330-7286
(304) 623-6300
Mailing address
3245 MOUNT CLARE RD, CLARKSBURG, WV 26301-7458
(304) 677-8564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1093
WV
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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