MEDICARE: KENDRICK JONES PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2025026319	MO

General Provider Information

NPI Number	:	1821963190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRICK JONES PLPC

Provider Business Mailing Address
First Line	:	1717 OLIVE ST APT 356
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-1773
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 WASHINGTON AVE STE 500
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63101-1271
Country	:	US
Telephone Number	:	314-252-0368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “ KENDRICK JONES PLPC” Practice Location

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