Siyuan Chen Kennedy, DPC LPC NCC BC-TMH
NPI #1396368783 in Brandon, Mississippi
Provider Information
- NPI Number
- 1396368783
- Entity Type
- Individual
- Name
- Siyuan Chen Kennedy, DPC LPC NCC BC-TMH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- DPC LPC NCC BC-TMH
- Enumeration Date
- May 20, 2020
- Last Updated
- May 20, 2020
Practice Location
- Address
- 108 SANDSTONE DRIVE
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047
- Phone
- (601) 842-4957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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