Kennedy Kingston
NPI #1861104556 in Manassas Park, Virginia
Provider Information
- NPI Number
- 1861104556
- Entity Type
- Individual
- Name
- Kennedy Kingston
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 14, 2022
- Last Updated
- Dec 14, 2022
Practice Location
- Address
- 9110 RAILROAD DR STE 310A
- City
- Manassas Park
- State
- Virginia
- ZIP Code
- 20111-7042
- Phone
- (703) 334-2206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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