Katherine E Kennedy, CSW, MS, SAC-IT

NPI #1871834374 in Minocqua, Wisconsin

Provider Information

NPI Number: 1871834374
Entity Type: Individual
Name: Katherine E Kennedy, CSW, MS, SAC-IT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: CSW, MS, SAC-IT
Enumeration Date: Mar 7, 2013
Last Updated: Mar 29, 2013

Practice Location

Address: 9433 COUNTY RD J
City: Minocqua
State: Wisconsin
ZIP Code: 54548-9318
Phone: (715) 356-5377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X
Counselor - Professional — Professional	101YP2500X	Primary

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