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1851813513
CODY KENNEDY
INDIO, CA
NPI
1851813513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A043061116)
Enumeration Date
2017-07-13
Last Update Date
2017-07-13
Business Address
Mr. CODY KENNEDY CADC-II, ICADC
47470 VAN BUREN ST
INDIO, CA 92201-7139
Phone number: 760-342-0042
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Mailing Address
Mr. CODY KENNEDY CADC-II, ICADC
2880 HULEN PL
RIVERSIDE, CA 92507-2606
Phone number:
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