| Kennemer Counseling Pllc | |
|
318 Cedar St Abilene TX 79601-5722 | |
| (325) 734-8585 | |
| (325) 734-8586 |
| Full Name | Kennemer Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 318 Cedar St, Abilene, Texas |
| Authorized Official Name and Position | Candace Kennemer (OWNER) |
| Authorized Official Contact | 3257348585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennemer Counseling Pllc 318 Cedar St Abilene TX 79601-5722 Ph: (325) 734-8585 | Kennemer Counseling Pllc 318 Cedar St Abilene TX 79601-5722 Ph: (325) 734-8585 |
| NPI Number | 1619518347 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Medicare PECOS PAC ID | 9234579236 |
|---|---|
| Medicare Enrollment ID | O20240424001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619518347 | NPI | - | NPPES |
| 396643401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Candace Kennemer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881152551 PECOS PAC ID: 6406296409 Enrollment ID: I20240424001786 |
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