Wanda Marie Kennel, LCDC, LSBW - Counselor in Gilmer, TX

Wanda Marie Kennel, LCDC, LSBW is a Counselor - Addiction (substance Use Disorder) based in Gilmer, Texas. Wanda Marie Kennel is licensed to practice in Texas (license number 5922) and her current practice location is 6563 Highland Rd, Gilmer, Texas. She can be reached at her office (for appointments etc.) via phone at (903) 734-5592.

NPI number for Wanda Marie Kennel is 1144278714 and her current mailing address is 6563 Highland Rd, Gilmer, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144278714.

Contact Information

Wanda Marie Kennel, LCDC, LSBW
6563 Highland Rd,
Gilmer, TX 75645-8279
(903) 734-5592
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameWanda Marie Kennel
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location6563 Highland Rd, Gilmer, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144278714
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 09/17/2007

Medical Identifiers

Medical identifiers for Wanda Marie Kennel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144278714NPI-NPPES
5922OtherTXLCDC
S23305OtherTXLBSW

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 5922 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda Marie Kennel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wanda Marie Kennel, LCDC, LSBW
6563 Highland Rd,
Gilmer, TX 75645-8279

Ph: (903) 734-5592
Wanda Marie Kennel, LCDC, LSBW
6563 Highland Rd,
Gilmer, TX 75645-8279

Ph: (903) 734-5592

Reviews and Comments


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