Individual provider · Type 1 NPI

Kendra Nicholson

Professional Counselor · Springfield, MO

NPI number 1407775331 Active

Practice location

1717 E Republic Rd Ste D
Springfield, MO 65804-6588

Call (417) 351-4282 Map

Fax (844) 683-2342

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2026021915 (MO)

Professional Counselor: Definition to come...

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About NPI 1407775331

Kendra Nicholson's National Provider Identifier is 1407775331, issued on Jul 14, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Jul 14, 2026.