person
Mr. Jack Timothy Kennedy, MALICDC
Addiction (Substance Use Disorder) Counselor in Cincinnati, Ohio
NPI 1861557829

Jack Timothy Kennedy is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Jack Timothy Kennedy practices in Cincinnati, OH and has the professional credentials of MALICDC. The NPI Number for Jack Timothy Kennedy is 1861557829 and holds a License No. 991698 (Ohio).

The current practice location address for Jack Timothy Kennedy is 8833 Chapelsquare Ln, Cincinnati, OH and can be reached out via phone at 513-774-9444 and via fax at 513-774-9888. You can also correspond with Jack Timothy Kennedy through the mailing address at 8833 CHAPELSQUARE LN, CINCINNATI, OH - 45249-4705 (mailing address contact number: 513-774-9444).

Location: 8833 Chapelsquare Ln, Cincinnati, OH, 45249-4705
person
Provider Profile Details
NPI Number
1861557829
Provider Name
Jack Timothy Kennedy
Credential
MALICDC
Provider Entity Type
Individual
Gender
Male
Address
8833 Chapelsquare Ln, Cincinnati, OH, 45249-4705
Phone Number
513-774-9444
Fax Number
513-774-9888
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8833 Chapelsquare Ln
City
State
Zip
45249-4705
Phone Number
513-774-9444
Fax Number
513-774-9888
person
Provider Business Mailing Address Details
Address
8833 Chapelsquare Ln
City
State
Zip
45249-4705
Phone Number
513-774-9444
Fax Number
513-774-9888
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
991698 (Ohio)
Definition
Definition to come...
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