| Jody Kenyon, Lcsw-r Counseling Services | |
|
3019 County Highway 11 Suite 3 Hartwick NY 13348 | |
| (160) 737-8979 | |
| Not Available |
| Full Name | Jody Kenyon, Lcsw-r Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3019 County Highway 11 Suite 3, Hartwick, New York |
| Authorized Official Name and Position | Jody M Kenyon (OWNER) |
| Authorized Official Contact | 6073789791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Kenyon, Lcsw-r Counseling Services 3019 County Highway 11 Suite 3 Hartwick NY 13348 Ph: (160) 737-8979 | Jody Kenyon, Lcsw-r Counseling Services 3019 County Highway 11 Suite 3 Hartwick NY 13348 Ph: (160) 737-8979 |
| NPI Number | 1164176392 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164176392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Maranatha Mission Home Network, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2580 County Highway 11, Hartwick, NY 13348 Phone: 802-848-9455 |