Mr. Owen C Kennedy
Mr. Owen C Kennedy is a Counselor in Beaver Dam, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2016
- Specialties on file
- 4
Practice location Address checks out
1807 N Center StBeaver Dam, WI 53916-1001
Phone: (920) 887-8751
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 7677-125 (WI) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Mental Health Counselor | Taxonomy 101YM0800X |
| Professional Counselor | Taxonomy 101YP2500X |
Record details
| NPI number | 1598126294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2016 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 7, 2024 |
Other providers in Beaver Dam
-
Mrs. Amy Lynn Creighton, LPC
111 Rowell St Ste 103, Beaver Dam, WI 53916-2317 · (920) 219-9362