DEREK MICHAEL KENNEDY

CLINTON, IA
NPI1316548704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-11-03
Last Update Date2020-11-03
Business Address
DEREK MICHAEL KENNEDY BA
250 20TH AVE N
CLINTON, IA 52732-2503
Phone number: 563-243-2124
Mailing Address
DEREK MICHAEL KENNEDY BA
250 20TH AVE N
CLINTON, IA 52732-2503
Phone number: 563-243-2124