WANDA MARIE KENNEL LCDC, LSBW
NPI 1144278714
Counselor - Addiction (Substance Use Disorder) in Gilmer, TX

Active since May 05, 2006
6563 HIGHLAND RD, GILMER, TX 75645(903) 734-5592 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wanda Marie Kennel Lcdc, Lsbw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA MARIE KENNEL LCDC, LSBW (NPI 1144278714) is an individual addiction (substance use disorder) provider in Gilmer, Texas, licensed in Texas (5922) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1144278714
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameWANDA MARIE KENNELCredential: LCDC, LSBW
Location Address6563 HIGHLAND RDGilmer, TX 75645-8279
Mailing Address6563 Highland RdGilmer, TX 75645-8279 · (903) 734-5592
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateSeptember 17, 2007
NPI 1144278714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TX · 5922
6563 HIGHLAND RD, Gilmer, TX 75645

Other Identifiers 2

Other5922TX · Lcdc
OtherS23305TX · Lbsw

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Kennel's NPI number?

The NPI number for Wanda Kennel is 1144278714. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Wanda Kennel located?

Wanda Kennel practices at 6563 Highland Rd, Gilmer, TX 75645. The listed phone number is (903) 734-5592.

What is Wanda Kennel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Wanda Kennel was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.