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Larry Kennedy, CRM
Peer Specialist in Bend, Oregon
NPI 1205694296

Larry Kennedy is a Peer Specialist based in Bend, OR. Larry Kennedy practices in Bend, OR and has the professional credentials of CRM. The NPI Number for Larry Kennedy is 1205694296 and holds a License No. 24-CRM-2944 (Oregon).

The current practice location address for Larry Kennedy is 389 Sw Scalehouse Ct Ste 130, Bend, OR and can be reached out via phone at 541-306-4446 and via fax at 541-550-2011.

Location: 389 Sw Scalehouse Ct Ste 130, Bend, OR, 97702-3241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205694296
Provider Name
Larry Kennedy
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
389 Sw Scalehouse Ct Ste 130, Bend, OR, 97702-3241
Phone Number
541-306-4446
Fax Number
541-550-2011
Provider Enumeration Date
03/13/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
389 Sw Scalehouse Ct Ste 130
City
Bend
State
Oregon
Zip
97702-3241
Phone Number
541-306-4446
Fax Number
541-550-2011
person
Provider Business Mailing Address Details
Address
389 Sw Scalehouse Ct Ste 130
City
Bend
State
Oregon
Zip
97702-3241
Phone Number
541-306-4446
Fax Number
541-550-2011
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
24-CRM-2944 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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