Individual
KENDALL WAYNE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BGS,BHRS
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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