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NPI Code Detail

MEDICARE: SHELBY RENEE KENNEL MS, LMHC

MEDICARE:   SHELBY RENEE KENNEL  MS, LMHC
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
1101YM0800XMental Health Counselor39004813AIN

General Provider Information

NPI Number : 1447011127
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY RENEE KENNEL MS, LMHC
Provider Business Mailing Address
First Line : 5878 NORTHLANDS TER
Second Line :
City : PLAINFIELD
State : IN
Zip : 46168-8429
Country : US
Telephone Number : 618-554-2127
Fax Number :
Provider Business Practice Location Address
First Line : 8180 CLEARVISTA PKWY STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-4622
Country : US
Telephone Number : 317-355-2560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2024
Last Update Date : 05/09/2024

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Directions to “ SHELBY RENEE KENNEL MS, LMHC” Practice Location

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