Kennedy, Jacquelyn

Kennedy, Jacquelyn is an sole proprietor health care provider with primary practice located at 16811 Lauder St , Detroit MI 48235-4037. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Kennedy, Jacquelyn can be contacted via phone (313) 273-2093.

Contact Information

Primary practice address
16811 Lauder St Detroit MI 48235-4037
Phone: (313) 273-2093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1427405976
LBN Legal business name Kennedy, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2016
Last updated May 14th, 2016 - about 8 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.

Request for update

Popular Providers