CODY KENNEDY

INDIO, CA
NPI1851813513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A043061116)
Enumeration Date2017-07-13
Last Update Date2017-07-13
Business Address
Mr. CODY KENNEDY CADC-II, ICADC
47470 VAN BUREN ST
INDIO, CA 92201-7139
Phone number: 760-342-0042
Mailing Address
Mr. CODY KENNEDY CADC-II, ICADC
2880 HULEN PL
RIVERSIDE, CA 92507-2606
Phone number: