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Organization
VILLAGE THERAPY RESOURCLES LLC
Active
Organization
VILLAGE THERAPY RESOURCLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEENA IONNE KENDRICK LMHP, CPC (PRESIDENT)
(308) 432-5437
Entity
Organization
Contact information
Practice address
318 SHELTON ST, CHADRON, NE 69337-2312
(308) 432-5437
(308) 432-5437
Mailing address
318 SHELTON ST, CHADRON, NE 69337-2312
(308) 432-5437
(308) 432-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1587
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025487200
—
NE
Enumeration date
03/19/2007
Last updated
09/04/2008
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