Individual
MR. MICHAEL JON KELLEDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
407 E RUSSELL AVE, STE A5, WARRENSBURG, MO 64093-3107
(660) 429-6678
(660) 429-6672
Mailing address
PO BOX C, WARRENSBURG, MO 64093-3107
(660) 429-6678
(660) 429-6672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2008004415
MO
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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