Kendell Pellham

NPI #1104011048 in West Plains, Missouri

Provider Information

NPI Number: 1104011048
Entity Type: Individual
Name: Kendell Pellham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 13, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 1015 LANTON RD
City: West Plains
State: Missouri
ZIP Code: 65775-3854
Phone: (417) 256-2570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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