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General NPI Number Information
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NPI Number | 1821963190
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Entity Type | Individual
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Provider Name | KENDRICK JONES PLPC
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Gender | Male
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 911 WASHINGTON AVE STE 500
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City | SAINT LOUIS
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State | MO
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Zip | 63101-1271
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Country | US
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Telephone | 314-252-0368
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 OLIVE ST APT 356
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City | SAINT LOUIS
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State | MO
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Zip | 63103-1773
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2025026319
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License Number State | MO
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