ALEXZANDER EUEGENE KENNEDY

CENTRALIA, WA
NPI1982341467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2022-05-17
Last Update Date2022-05-17
Business Address
ALEXZANDER EUEGENE KENNEDY
3510 STEELHAMMER LANE
CENTRALIA, WA 98531-1711
Phone number: 360-623-8020
Mailing Address
ALEXZANDER EUEGENE KENNEDY
3510 STEELHAMMER LANE
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020