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Mrs. Kelly C Pemberton, MED,LPC
Professional Counselor in Richardson, Texas
NPI 1811206691

Kelly C Pemberton is a Professional Counselor based in Richardson, TX and is specialized in Professional. Kelly C Pemberton practices in Richardson, TX and has the professional credentials of MED,LPC. The NPI Number for Kelly C Pemberton is 1811206691 and holds a License No. 62609 (Texas).

The current practice location address for Kelly C Pemberton is 2005 Columbia Dr, Richardson, TX and can be reached out via phone at 214-683-4805.

Location: 2005 Columbia Dr, Richardson, TX, 75081-3206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811206691
Provider Name
Kelly C Pemberton
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
2005 Columbia Dr, Richardson, TX, 75081-3206
Phone Number
214-683-4805
Fax Number
Provider Enumeration Date
09/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2005 Columbia Dr
City
Richardson
State
Texas
Zip
75081-3206
Phone Number
214-683-4805
Fax Number
person
Provider Business Mailing Address Details
Address
2005 Columbia Dr
City
Richardson
State
Texas
Zip
75081-3206
Phone Number
214-683-4805
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
62609 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
62609 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
62609 (Texas)
Definition
Definition to come...
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