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MS. TEENA IONNE KENRICK LICENSED MENTAL

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679638472

Individual Registrant:
MS. TEENA IONNE KENRICK LICENSED MENTAL
Gender: F
Not Sole Proprietor

Location and contact information for practice:
318 SHELTON ST  CHAORON, NE 69337 US
Tel: 308-432-5437  Fax: 308-432-5437

Contact information for business:
318 SHELTON ST  CHADRON, NE 69337 US
Tel: 308-432-5437  Fax: 308-432-5437

Registration Information:
NPI: 1679638472
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
NE1587

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS84014NE01
MIDLANDS CHOICE24037601




HEALTH CARE JOBS NE - Page 1



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