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Mr. Charles M Kennedy, NCACII
Counselor in Dallas, Oregon
NPI 1730320805

Charles M Kennedy is a Counselor based in Dallas, OR. Charles M Kennedy practices in Dallas, OR and has the professional credentials of NCACII. The NPI Number for Charles M Kennedy is 1730320805 and holds a License No. 97-04-91 (Oregon).

The current practice location address for Charles M Kennedy is 171 Sw Court St, Dallas, OR and can be reached out via phone at 503-831-1423 and via fax at 503-831-1573.

Location: 171 Sw Court St, Dallas, OR, 97338-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730320805
Provider Name
Charles M Kennedy
Credential
NCACII
Provider Entity Type
Individual
Gender
Male
Address
171 Sw Court St, Dallas, OR, 97338-3112
Phone Number
503-831-1423
Fax Number
503-831-1573
Provider Enumeration Date
03/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
171 Sw Court St
City
Dallas
State
Oregon
Zip
97338-3112
Phone Number
503-831-1423
Fax Number
503-831-1573
person
Provider Business Mailing Address Details
Address
171 Sw Court St
City
Dallas
State
Oregon
Zip
97338-3112
Phone Number
503-831-1423
Fax Number
503-831-1573
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
97-04-91 (Oregon)
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.
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