Individual provider · Type 1 NPI

Kelly D. Tucker Bernal, LPC

Professional Counselor · Farmington, MO

NPI number 1760468375 Active

Practice location

1103 Weber Rd
Farmington, MO 63640-3345

Call (573) 664-1629 Map

Fax (573) 431-6580

Mailing address

PO Box 844715
Kansas City, MO 64184-4715

Other practice locations

  • 24 Southtowne Dr, Potosi, MO 63664-5729 · (573) 438-6706

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2016042812 (MO)

Professional Counselor: Definition to come...

8 other providers at this address

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About NPI 1760468375

Kelly D. Tucker Bernal, LPC's National Provider Identifier is 1760468375, issued on Dec 16, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Farmington, MO. The record was last updated on Jul 28, 2026.