Provider Demographics
NPI:1053145490
Name:PLUMMER, KENSEY LEEANN (LPC)
Entity type:Individual
Prefix:MS
First Name:KENSEY
Middle Name:LEEANN
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6302 BLAKE AVE APT 12C
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-7244
Mailing Address - Country:US
Mailing Address - Phone:785-640-8207
Mailing Address - Fax:
Practice Address - Street 1:6302 BLAKE AVE APT 12C
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-7244
Practice Address - Country:US
Practice Address - Phone:785-640-8207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional