MR. Charles M Kennedy, NCAC II is a counselor in Dallas, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Charles M Kennedy, NCAC II NPI is 1730320805. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
171 SW COURT ST
DALLAS, OR
ZIP 97338-112
Phone: (503) 831-1423
Fax: (503) 831-1573
The enumeration date for this NPI number is 3/18/2009 and was last updated on 3/18/2009.