Individual
AUSTIN B KELBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1864 S KENTWOOD AVE, SPRINGFIELD, MO 65804-2323
(417) 869-8400
Mailing address
1864 S KENTWOOD AVE, SPRINGFIELD, MO 65804-2323
(417) 869-8400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025002181
MO
Other
Enumeration date
06/10/2022
Last updated
04/07/2025
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