Kennedy, Peter

Kennedy, Peter is an individual health care provider with primary practice located at 9500 Haven Ave , Rancho Cucamonga CA 91730. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kennedy, Peter can be contacted via phone (909) 433-1276.

Contact Information

Primary practice address
9500 Haven Ave Rancho Cucamonga CA 91730
Phone: (909) 433-1276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X M-08172 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 82504 California

Profile Details

NPI number 1821221250
LBN Legal business name Kennedy, Peter
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated May 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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