MR. Charles M Kennedy, NCAC II

NPI #1730320805 in Dallas, Oregon

Provider Information

NPI Number: 1730320805
Entity Type: Individual
Name: MR. Charles M Kennedy, NCAC II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: NCAC II
Enumeration Date: Mar 18, 2009
Last Updated: Mar 18, 2009

Practice Location

Address: 171 SW COURT ST
City: Dallas
State: Oregon
ZIP Code: 97338-3112
Phone: (503) 831-1423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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