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Individual

KEVIN TENNILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLPC

Contact information

Practice address
2828 E HIGHWAY 47, WINFIELD, MO 63389-3027
(636) 328-8248
(636) 668-6125
Mailing address
1031 PERUQUE CROSSING CT, O FALLON, MO 63366-2362
(636) 887-3655

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016045020
MO

Other

Enumeration date
04/18/2017
Last updated
05/07/2018
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