Individual provider · Type 1 NPI

Kelly R. Teague, MS, LPC

Professional Counselor · Springfield, MO

NPI number 1942001987 Active

Practice location

1300 E Bradford Pkwy
Springfield, MO 65804-4264

Call (417) 761-5000 Map

Fax (417) 761-5011

Mailing address

PO Box 844715
Kansas City, MO 64184-4715

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2023046499 (MO)
Professional Counselor Primary 101YP2500X2025050264 (MO)

Professional Counselor: Definition to come...

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About NPI 1942001987

Kelly R. Teague, MS, LPC's National Provider Identifier is 1942001987, issued on Mar 24, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Jan 28, 2026.