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Mr. Cody Kennedy, CADC-II,ICADC
Addiction (Substance Use Disorder) Counselor in Indio, California
NPI 1851813513

Cody Kennedy is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Cody Kennedy practices in Indio, CA and has the professional credentials of CADC-II,ICADC. The NPI Number for Cody Kennedy is 1851813513 and holds a License No. A043061116 (California).

The current practice location address for Cody Kennedy is 47470 Van Buren St, Indio, CA and can be reached out via phone at 760-342-0042.

Location: 47470 Van Buren St, Indio, CA, 92507-2606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851813513
Provider Name
Cody Kennedy
Credential
CADC-II,ICADC
Provider Entity Type
Individual
Gender
Male
Address
47470 Van Buren St, Indio, CA, 92507-2606
Phone Number
760-342-0042
Fax Number
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
47470 Van Buren St
City
Indio
State
California
Zip
92201-7139
Phone Number
760-342-0042
Fax Number
person
Provider Business Mailing Address Details
Address
47470 Van Buren St
City
Indio
State
California
Zip
92201-7139
Phone Number
760-342-0042
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.
A043061116 (California)
Definition
Definition to come...
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