Organization
3 REASONS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICK JACOREY LEE PAYNE MSW, LCSW (CLINICAL THERAPIST)
(510) 944-8759
Entity
Organization
Contact information
Practice address
520 S ALBANY AVE, BOLIVAR, MO 65613-2116
(510) 944-8759
Mailing address
2514 S OVERHILL AVE, SPRINGFIELD, MO 65807-8158
(510) 944-8759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490103383
—
MO
Enumeration date
02/26/2025
Last updated
02/26/2025
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