Mr. Jack Timothy Kennedy, MALICDC
Mr. Jack Timothy Kennedy, MALICDC is an Addiction (Substance Use Disorder) Counselor in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2006
Practice location Address checks out
8833 Chapelsquare LnCincinnati, OH 45249-4705
Phone: (513) 774-9444
Fax: (513) 774-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 991698 (OH) |
|---|
Record details
| NPI number | 1861557829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MALICDC |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2006 |
| Last updated in NPPES | July 8, 2007 |
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