Individual
DEREK KENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 PENDRELL LN, CORDOVA, TN 38016-5398
(901) 277-1107
Mailing address
2250 PENDRELL LN, CORDOVA, TN 38016-5398
(901) 277-1107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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