Individual
MRS. KENDRA ANN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3833 W PEONY TER, BATTLEFIELD, MO 65619-5100
(417) 268-7765
Mailing address
3322 S CAMPBELL AVE STE R, SPRINGFIELD, MO 65807-4980
(417) 380-9033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019035248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14429499
CAQH
—
05
—
490075127
—
MO
Enumeration date
08/28/2012
Last updated
08/06/2024
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