TY KENNISON

PENDLETON, OR
NPI1245699651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-02-12
Last Update Date2016-02-12
Business Address
TY KENNISON
2575 WESTGATE BLDG 1
PENDLETON, OR 97801-9613
Phone number: 541-429-8721
Mailing Address
TY KENNISON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-377-1522
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