Maxwell B Kennedy, MFT
Marriage & Family Therapist in Statesboro, GA. Individual provider (NPI-1).
NPI number1265664403
StatusActive
Last updated in NPPESAug 21, 2009
Details
- NPI
- 1265664403
- Entity type
- Individual (NPI-1)
- Name
- Maxwell B Kennedy
- Credential
- MFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2009
- Last updated
- Aug 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT000585 | GA | Yes |
Practice location
106 Oak St Ste AStatesboro, GA 30458-0988
Phone 912-682-2709 · Fax 912-764-5661
Mailing address
Po Box 373Statesboro, GA 30459-0373
Phone 912-682-2709 · Fax 912-764-5661
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Other Marriage & Family Therapist providers in Statesboro, GA
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- Michael E Stoneking, P.H.D.NPI 1659406429
All 6 Marriage & Family Therapist providers in Statesboro · All 1,371 providers in Statesboro
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