| Mr Charles M Kennedy, NCAC II | |
|
171 Sw Court St, Dallas, OR 97338-3112 | |
| (503) 831-1423 | |
| (503) 831-1573 |
| Full Name | Mr Charles M Kennedy |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 171 Sw Court St, Dallas, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730320805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 97-04-91 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles M Kennedy, NCAC II 171 Sw Court St, Dallas, OR 97338-3112 Ph: (503) 831-1423 | Mr Charles M Kennedy, NCAC II 171 Sw Court St, Dallas, OR 97338-3112 Ph: (503) 831-1423 |
Kimberly Dawn Howard, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Jedonne Jorstad, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Ste 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-623-1874 | |
Zachary Beeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Katrina Jeannine West, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Susan Marie Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 | |
Mrs. Margaret Ann Terry, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Tiffany Bouchard, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, County Of Polk, Suite 220, Dallas, OR 97338 Phone: 503-623-9317 |