| Ms Michelle L Kennedy, MSW-CSW-QMHP | |
|
11 East 4th Street, Lemmon, SD 57638-0447 | |
| (605) 374-3862 | |
| (605) 374-3864 |
| Full Name | Ms Michelle L Kennedy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 11 East 4th Street, Lemmon, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013073527 | NPI | - | NPPES |
| 0003226 | Other | SD | BCBS THREE RIVERS GROUP # |
| 4994184 | Other | SD | BCBS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1948 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Michelle L Kennedy, MSW-CSW-QMHP P.o. Box 447, Lemmon, SD 57638-0447 Ph: (605) 374-3862 | Ms Michelle L Kennedy, MSW-CSW-QMHP 11 East 4th Street, Lemmon, SD 57638-0447 Ph: (605) 374-3862 |
Gregory Fisher, CCDC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 4th St E, Lemmon, SD 57638 Phone: 605-374-3862 Fax: 605-374-3864 | |
Thelma Claymore, CCDC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 4th St E, Lemmon, SD 57638 Phone: 605-374-3862 Fax: 605-374-3864 | |
Mr. Patrick Poitra, LPC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 East 4th St, Lemmon, SD 57645 Phone: 605-823-4212 Fax: 605-823-4212 | |
Mr. Allan Mcgough, MSW-LCSW-QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 4th St E, Lemmon, SD 57638 Phone: 605-374-3862 Fax: 605-374-3864 | |
Ms. Tara L. Jorgenson, MS,LPC,QMHP Counselor Medicare: Medicare Enrolled Practice Location: 11 4th St E, Lemmon, SD 57638 Phone: 605-374-3862 Fax: 605-374-3864 |