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Mr. Owen C Kennedy
Professional Counselor in Beaver Dam, Wisconsin
NPI 1598126294

Owen C Kennedy is a Professional Counselor based in Madison, WI and is specialized in Professional. Owen C Kennedy practices in Beaver Dam, WI. The NPI Number for Owen C Kennedy is 1598126294 and holds a License No. (Wisconsin).

The current practice location address for Owen C Kennedy is 1807 N Center St, Beaver Dam, WI and can be reached out via phone at 920-887-8751.

Location: 1807 N Center St, Beaver Dam, WI, 53717-1518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598126294
Provider Name
Owen C Kennedy
Credential
Provider Entity Type
Individual
Gender
Male
Address
1807 N Center St, Beaver Dam, WI, 53717-1518
Phone Number
920-887-8751
Fax Number
Provider Enumeration Date
03/09/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1807 N Center St
City
Beaver Dam
State
Wisconsin
Zip
53916-1001
Phone Number
920-887-8751
Fax Number
person
Provider Business Mailing Address Details
Address
1807 N Center St
City
Beaver Dam
State
Wisconsin
Zip
53916-1001
Phone Number
920-887-8751
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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