Most Relevant Information
Provider Data
| NPI Number: | 1003239807 |
| Provider Name: | JOHN KENNEDY M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/29/2014 |
| Last Updated: | 04/04/2016 |
Provider Practice Location
3737 MARTIN LUTHER KING JR BLVD
SUITE 550
LYNWOOD
CA
902623513
Practice Location Phone/Fax
| Phone: | 3106093890 |
| Fax: | 3106090301 |
Provider Mailing Location
7291 TALBERT AVE
HUNTINGTON BEACH
CA
926481232
Provider Mailing Phone/Fax
| Phone: | 7148426600 |
| Fax: | 7148426607 |