Search › Illinois › 1041C0700X
Jodie Kennedy, L.C.S.W
NPI 1083930705 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3412 S Illinois Ave
Carbondale, IL 62903 - Phone
- (618) 327-1304
- Fax
- (618) 457-8844
- Organisation at this address
- Shawler Psychology, Pllc
Nicole Douglas Psychology And Wellness, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois