Individual
KENDRA LEE TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
13659 E 104TH AVE UNIT 800, COMMERCE CITY, CO 80022-9406
(720) 306-1074
Mailing address
5236 TOMAH CIR, COLORADO SPRINGS, CO 80918-2028
(205) 212-4671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC.0016252
CO
101YM0800X
Mental Health Counselor
LPCC.0016252
CO
101YP2500X
Professional Counselor
Primary
LPCC.0016252
CO
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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