person
Ilyse Kennedy, LPC
Mental Health Counselor in Austin, Texas
NPI 1073157855

Ilyse Kennedy is a Mental Health Counselor based in Austin, TX and is specialized in Mental Health. Ilyse Kennedy practices in Austin, TX and has the professional credentials of LPC. The NPI Number for Ilyse Kennedy is 1073157855 and holds a License No. 78789 (Texas).

The current practice location address for Ilyse Kennedy is 2113 Riddle Rd, Austin, TX and can be reached out via phone at 512-766-9702.

Location: 2113 Riddle Rd, Austin, TX, 78745-4934
person
Provider Profile Details
NPI Number
1073157855
Provider Name
Ilyse Kennedy
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2113 Riddle Rd, Austin, TX, 78745-4934
Phone Number
512-766-9702
Fax Number
Provider Enumeration Date
11/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84-3455289 01 TX EINS
institution
Provider Business Practice Location Address Details
Address
2113 Riddle Rd
City
State
Zip
78748-1305
Phone Number
512-766-9702
Fax Number
person
Provider Business Mailing Address Details
Address
2113 Riddle Rd
City
State
Zip
78748-1305
Phone Number
512-766-9702
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
78789 (Texas)
Definition
Definition to come...
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