Individual
KAILEY DRENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
4100 BARBARA LOOP SE, RIO RANCHO, NM 87124-1000
(505) 702-8547
Mailing address
2924 N 155TH TER, BASEHOR, KS 66007-9236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
04525
KS
101YP2500X
Professional Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/12/2022
Last updated
06/10/2024
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