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Mr. Ricky Kennedy, LPC
Professional Counselor in Durant, Oklahoma
NPI 1063961357

Ricky Kennedy is a Professional Counselor based in Durant, OK and is specialized in Professional. Ricky Kennedy practices in Durant, OK and has the professional credentials of LPC. The NPI Number for Ricky Kennedy is 1063961357 and holds a License No. 14492 (Oklahoma).

The current practice location address for Ricky Kennedy is 1001 W Main St, Durant, OK and can be reached out via phone at 580-924-7330.

Location: 1001 W Main St, Durant, OK, 74701-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063961357
Provider Name
Ricky Kennedy
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1001 W Main St, Durant, OK, 74701-5038
Phone Number
580-924-7330
Fax Number
Provider Enumeration Date
09/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 W Main St
City
Durant
State
Oklahoma
Zip
74701-5038
Phone Number
580-924-7330
Fax Number
person
Provider Business Mailing Address Details
Address
1001 W Main St
City
Durant
State
Oklahoma
Zip
74701-5038
Phone Number
580-924-7330
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
14492 (Texas)
Definition
Definition to come...
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