Provider Demographics
NPI:1811447378
Name:MAPP, KENDRA JANAE (MA;LPC)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:JANAE
Last Name:MAPP
Suffix:
Gender:F
Credentials:MA;LPC
Other - Prefix:MS
Other - First Name:KENDRA
Other - Middle Name:JANAE
Other - Last Name:MAPP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA;LPC
Mailing Address - Street 1:5606 GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2104
Mailing Address - Country:US
Mailing Address - Phone:513-487-9423
Mailing Address - Fax:
Practice Address - Street 1:203 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1353
Practice Address - Country:US
Practice Address - Phone:513-948-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-08
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH(C1500250)101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor