Individual
ANGELA JEAN KEMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, LPC
Contact information
Practice address
8965 HIGHWAY 36, BOX 2, HANNIBAL, MO 63401-6739
(573) 406-0818
(573) 406-0818
Mailing address
2121 E WILMAR DR, QUINCY, IL 62301-6902
(217) 228-0174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2008034851
MO
101YP2500X
Professional Counselor
Primary
180012184
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295831600
—
MO
Enumeration date
09/15/2006
Last updated
07/23/2024
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