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Tammy C Kennedy, LPC,LADAC
Professional Counselor in Rogers, Arkansas
NPI 1932138278

Tammy C Kennedy is a Professional Counselor based in Rogers, AR and is specialized in Professional. Tammy C Kennedy practices in Rogers, AR and has the professional credentials of LPC,LADAC. The NPI Number for Tammy C Kennedy is 1932138278 and holds a License No. P0006017 (Arkansas).

The current practice location address for Tammy C Kennedy is 5311 S Stone Bay Ct, Rogers, AR and can be reached out via phone at 479-257-5101.

Location: 5311 S Stone Bay Ct, Rogers, AR, 72758-4149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932138278
Provider Name
Tammy C Kennedy
Credential
LPC,LADAC
Provider Entity Type
Individual
Gender
Female
Address
5311 S Stone Bay Ct, Rogers, AR, 72758-4149
Phone Number
479-257-5101
Fax Number
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5Y674 01 AR AR BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
5311 S Stone Bay Ct
City
Rogers
State
Arkansas
Zip
72758-4149
Phone Number
479-257-5101
Fax Number
person
Provider Business Mailing Address Details
Address
5311 S Stone Bay Ct
City
Rogers
State
Arkansas
Zip
72758-4149
Phone Number
479-257-5101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
P0006017 (Arkansas)
Definition
Definition to come...
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