Provider Demographics
NPI:1972844645
Name:KENNY, CYNTHIA F (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:F
Last Name:KENNY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 W SOUTH BOUNDARY ST STE 600
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5249
Mailing Address - Country:US
Mailing Address - Phone:419-873-8280
Mailing Address - Fax:
Practice Address - Street 1:1090 W SOUTH BOUNDARY ST STE 600
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5249
Practice Address - Country:US
Practice Address - Phone:419-873-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000427101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional