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Melba Joyce Kennedy, LCDC
Addiction (Substance Use Disorder) Counselor in Lufkin, Texas
NPI 1205994035

Melba Joyce Kennedy is an Addiction (Substance Use Disorder) Counselor based in Lufkin, TX and is specialized in Addiction (Substance Use Disorder). Melba Joyce Kennedy practices in Lufkin, TX and has the professional credentials of LCDC. The NPI Number for Melba Joyce Kennedy is 1205994035 and holds a License No. 1739-1005 (Texas).

The current practice location address for Melba Joyce Kennedy is 4101 S Medford Dr, Lufkin, TX and can be reached out via phone at 936-639-1141.

Location: 4101 S Medford Dr, Lufkin, TX, 75901-5633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205994035
Provider Name
Melba Joyce Kennedy
Credential
LCDC
Provider Entity Type
Individual
Gender
Female
Address
4101 S Medford Dr, Lufkin, TX, 75901-5633
Phone Number
936-639-1141
Fax Number
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8645BH 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4101 S Medford Dr
City
Lufkin
State
Texas
Zip
75901-5633
Phone Number
936-639-1141
Fax Number
person
Provider Business Mailing Address Details
Address
4101 S Medford Dr
City
Lufkin
State
Texas
Zip
75901-5633
Phone Number
936-639-1141
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1739-1005 (Texas)
Definition
Definition to come...
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