| NPI | 1730513409 |
|---|---|
| Other Name | COLLEEN A KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL CADC 2699) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.008168) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |