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Ms. Kelley Gaye Wilbanks, LPC
Counselor in West Plains, Missouri
NPI 1578666723

Kelley Gaye Wilbanks is a Counselor based in West Plains, MO. Kelley Gaye Wilbanks practices in West Plains, MO and has the professional credentials of LPC. The NPI Number for Kelley Gaye Wilbanks is 1578666723 and holds a License No. 494720303 (Missouri).

The current practice location address for Kelley Gaye Wilbanks is 3411 Division Dr, West Plains, MO and can be reached out via phone at 417-257-9152 and via fax at 417-257-9162.

Location: 3411 Division Dr, West Plains, MO, 65775-5789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578666723
Provider Name
Kelley Gaye Wilbanks
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3411 Division Dr, West Plains, MO, 65775-5789
Phone Number
417-257-9152
Fax Number
417-257-9162
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
494720303 05 MO
151551 01 MO BLUE CROSS BLUE SHIELD
431116734 01 MO NEW DIRECTIONS
431116734 01 MO EAP INTERFACE
11545393 01 MO CAQH
713333 01 MO HEALTHLINK PPO
institution
Provider Business Practice Location Address Details
Address
3411 Division Dr
City
West Plains
State
Missouri
Zip
65775-5789
Phone Number
417-257-9152
Fax Number
417-257-9162
person
Provider Business Mailing Address Details
Address
3411 Division Dr
City
West Plains
State
Missouri
Zip
65775-5789
Phone Number
417-257-9152
Fax Number
417-257-9162
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
494720303 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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