NPI 1003107228

Jennifer Kridelbaugh

Practitioner Mental Health Counselor Waynesville, MO

Practice location

Address: 1000 Hospital Rd, Waynesville, MO 65583-2634
Phone: (573) 774-5353

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 2009035448 (MO)

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Registry record

NPI: 1003107228
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2011
Record last updated: 21 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.