person
Wanda Marie Kennel, LCDC,LSBW
Addiction (Substance Use Disorder) Counselor in Gilmer, Texas
NPI 1144278714

Wanda Marie Kennel is an Addiction (Substance Use Disorder) Counselor based in Gilmer, TX and is specialized in Addiction (Substance Use Disorder). Wanda Marie Kennel practices in Gilmer, TX and has the professional credentials of LCDC,LSBW. The NPI Number for Wanda Marie Kennel is 1144278714 and holds a License No. 5922 (Texas).

The current practice location address for Wanda Marie Kennel is 6563 Highland Rd, Gilmer, TX and can be reached out via phone at 903-734-5592. You can also correspond with Wanda Marie Kennel through the mailing address at 6563 HIGHLAND RD, GILMER, TX - 75645-8279 (mailing address contact number: 903-734-5592).

Location: 6563 Highland Rd, Gilmer, TX, 75645-8279
person
Provider Profile Details
NPI Number
1144278714
Provider Name
Wanda Marie Kennel
Credential
LCDC,LSBW
Provider Entity Type
Individual
Gender
Female
Address
6563 Highland Rd, Gilmer, TX, 75645-8279
Phone Number
903-734-5592
Fax Number
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5922 01 TX LCDC
S23305 01 TX LBSW
institution
Provider Business Practice Location Address Details
Address
6563 Highland Rd
City
State
Zip
75645-8279
Phone Number
903-734-5592
Fax Number
person
Provider Business Mailing Address Details
Address
6563 Highland Rd
City
State
Zip
75645-8279
Phone Number
903-734-5592
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5922 (Texas)
Definition
Definition to come...
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