JACK TIMOTHY KENNEDY

CINCINNATI, OH
NPI1861557829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  991698)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
Mr. JACK TIMOTHY KENNEDY M.A. LICDC
8833 CHAPELSQUARE LN
CINCINNATI, OH 45249-4705
Phone number: 513-774-9444
Mailing Address
Mr. JACK TIMOTHY KENNEDY M.A. LICDC
8833 CHAPELSQUARE LN
CINCINNATI, OH 45249-4705
Phone number: 513-774-9444