Individual
KENDRA JANAI MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC CANDIDATE
Contact information
Practice address
3111 N BROADWAY ST, POTEAU, OK 74953-5412
(918) 839-4141
Mailing address
3111 N BROADWAY ST., POTEAU, OK 74953-8404
(918) 839-4141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
04/01/2015
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