Individual
KELSEY PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 283-2072
(417) 283-2073
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 283-2072
(417) 283-2073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024014849
MO
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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