Kennedy-Amos, Diane Nicole

Kennedy-Amos, Diane Nicole is an individual health care provider with primary practice located at 410 Thomas Jefferson Highway , Charlotte Court House VA 23923-0340. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Kennedy-Amos, Diane Nicole can be contacted via phone (434) 392-7049.

Contact Information

Primary practice address
410 Thomas Jefferson Highway Charlotte Court House VA 23923-0340
Phone: (434) 392-7049
Fax: (434) 392-9221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 0701004708 Virginia
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 0812000549 Virginia

Profile Details

NPI number 1275851891
LBN Legal business name Kennedy-Amos, Diane Nicole
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated Mar 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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