Individual
DR. KENDAL WELLINGTON HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LAC, LIAC
Contact information
Practice address
1907 MOHAWK RD, PUEBLO, CO 81001-1519
(719) 582-4362
Mailing address
226 1/2 S UNION AVE UNIT 210, PUEBLO, CO 81003-3557
(719) 582-4362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001478
CO
101YP2500X
Professional Counselor
LPC.0014468
CO
Other
Enumeration date
12/23/2015
Last updated
06/04/2025
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