Individual provider · Type 1 NPI

Kendell Pellham

Professional Counselor · West Plains, MO

NPI number 1104011048 Active

Practice location

1015 Lanton Rd
West Plains, MO 65775-3854

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1104011048

Kendell Pellham's National Provider Identifier is 1104011048, issued on Sep 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Plains, MO. The record was last updated on Sep 13, 2007.