Individual
MRS. KENDRA N PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
777 E BATTLEFIELD ST, 102B, SPRINGFIELD, MO 65807-4807
(417) 597-4572
Mailing address
777 E BATTLEFIELD ST, SPRINGFIELD, MO 65807-4807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011035734
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497082602
—
MO
Enumeration date
11/07/2011
Last updated
10/06/2023
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