Virginia Mae Kennedy, CDPT - Counselor in Little Rock, WA

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Virginia Mae Kennedy, CDPT is a Counselor - Addiction (substance Use Disorder) based in Little Rock, Washington. Virginia Mae Kennedy is licensed to practice in Washington (license number 60537602) and her current practice location is 12200 Bordeaux Rd, Little Rock, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 359-4075.

NPI number for Virginia Mae Kennedy is 1689141103 and her current mailing address is 1402 Harrison Ave Apt E116, Centralia, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689141103.

Contact Information

Virginia Mae Kennedy, CDPT
12200 Bordeaux Rd,
Little Rock, WA 98556
(360) 359-4075
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameVirginia Mae Kennedy
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location12200 Bordeaux Rd, Little Rock, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689141103
  • Provider Enumeration Date: 11/02/2018
  • Last Update Date: 11/02/2018

Medical Identifiers

Medical identifiers for Virginia Mae Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689141103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 60537602 (Washington)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. Virginia Mae Kennedy 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
Virginia Mae Kennedy, CDPT
1402 Harrison Ave Apt E116,
Centralia, WA 98531-4525

Ph: (360) 270-3115		Virginia Mae Kennedy, CDPT
12200 Bordeaux Rd,
Little Rock, WA 98556

Ph: (360) 359-4075

Reviews and Comments


Counselor in Little Rock, WA


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