Individual
MRS. KELLY AMANDA CARPENTER
Active
Individual
MRS. KELLY AMANDA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008035918
MO
101YP2500X
Professional Counselor
LCPC2249
KS
Other
Enumeration date
02/19/2009
Last updated
10/09/2012
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