Kelly McCormack, LPC
Counselor, Professional in Hillsboro, MO. Individual provider (NPI-1).
NPI number1497464481
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1497464481
- Entity type
- Individual (NPI-1)
- Name
- Kelly McCormack
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2022
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2021046454 | MO | Yes |
Practice location
4 Hickory Ridge Rd Ste 600Hillsboro, MO 63050-5117
Phone 844-853-8937
Mailing address
1800 CommunityClinton, MO 64735-8804
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