Individual
PAMELA KUYKENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP (TEMP)
Contact information
Practice address
1907 N ROAN ST STE 203, JOHNSON CITY, TN 37601-3164
(423) 427-6224
Mailing address
1907 N ROAN ST # 9, JOHNSON CITY, TN 37601-3164
(423) 427-6224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6732
TN
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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