MR. Ricky Kennedy, LPC

NPI #1063961357 in Durant, Oklahoma

Provider Information

NPI Number: 1063961357
Entity Type: Individual
Name: MR. Ricky Kennedy, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Sep 27, 2016
Last Updated: Oct 12, 2016

Practice Location

Address: 1001 W MAIN ST
City: Durant
State: Oklahoma
ZIP Code: 74701-5038
Phone: (580) 924-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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