Individual provider · Type 1 NPI

Kelly C. Pemberton, MED, LPC

Professional Counselor · Richardson, TX

NPI number 1811206691 Active

Practice location

2005 Columbia Dr
Richardson, TX 75081-3206

Call (214) 683-4805 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X62609 (TX)
Mental Health Counselor 101YM0800X62609 (TX)
Professional Counselor Primary 101YP2500X62609 (TX)

Professional Counselor: Definition to come...

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About NPI 1811206691

Kelly C. Pemberton, MED, LPC's National Provider Identifier is 1811206691, issued on Sep 28, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richardson, TX. The record was last updated on Jul 19, 2012.