Ty Kennison
Ty Kennison is a Mental Health Counselor in Pendleton, Oregon. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
2575 Westgate Bldg 1Pendleton, OR 97801-9613
Phone: (541) 429-8721
Fax: (541) 429-8720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1245699651 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 12, 2016 |
| Last updated in NPPES | February 12, 2016 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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