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Individual

MRS. KENDALL LEA GRAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5560
(573) 632-5875
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006026894
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11871325
CAQH
05
490117009
MO
Enumeration date
06/06/2007
Last updated
05/19/2025
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