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NPI Code Detail

MEDICARE: KEISHA KENNY - TRUE NORTH COUNSELING MA M.S.W., L.I.C.S.W.

MEDICARE: KEISHA KENNY - TRUE NORTH COUNSELING MA M.S.W., L.I.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker112190MA

General Provider Information

NPI Number : 1376865204
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEISHA KENNY - TRUE NORTH COUNSELING MA M.S.W., L.I.C.S.W.
Provider Business Mailing Address
First Line : 15 LINDEN ST
Second Line :
City : SALEM
State : MA
Zip : 01970-4666
Country : US
Telephone Number : 617-817-2918
Fax Number :
Provider Business Practice Location Address
First Line : 15 LINDEN ST
Second Line :
City : SALEM
State : MA
Zip : 01970-4666
Country : US
Telephone Number : 617-817-2918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2010
Last Update Date : 01/23/2024

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