Provider Demographics
NPI:1801554688
Name:AREY, KENDRA D (LCPC, ATR)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:D
Last Name:AREY
Suffix:
Gender:F
Credentials:LCPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-3409
Mailing Address - Country:US
Mailing Address - Phone:207-261-0786
Mailing Address - Fax:
Practice Address - Street 1:17 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2718
Practice Address - Country:US
Practice Address - Phone:207-261-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2025-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC7379101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional