Individual
KAYLYN N MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
630 W KEARNEY ST, SPRINGFIELD, MO 65803-2508
(417) 761-5000
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020043201
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490095460
—
MO
Enumeration date
05/03/2021
Last updated
05/05/2026
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