Kennedy, Charles M

Kennedy, Charles M is an individual health care provider with primary practice located at 171 Sw Court St , Dallas OR 97338-3112. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Kennedy, Charles M can be contacted via phone (503) 831-1423.

Contact Information

Primary practice address
171 Sw Court St Dallas OR 97338-3112
Phone: (503) 831-1423
Fax: (503) 831-1573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 97-04-91 Oregon

Profile Details

NPI number 1730320805
LBN Legal business name Kennedy, Charles M
Credentials NCAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 16 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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