Individual
KANDRA L KUNNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1200 W WALNUT ST APT A204, SPRINGFIELD, MO 65806-8201
(573) 528-8370
Mailing address
1200 W WALNUT ST APT A204, SPRINGFIELD, MO 65806-8201
(573) 528-8370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016036618
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13975808
CAQH
MO
05
—
490040853
—
MO
Enumeration date
09/29/2016
Last updated
04/28/2020
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