Provider Demographics
NPI:1164552170
Name:SEEL, KENDRA (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:
Last Name:SEEL
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 PROFESSIONAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ARKADELPHIA
Mailing Address - State:AR
Mailing Address - Zip Code:71923-5317
Mailing Address - Country:US
Mailing Address - Phone:870-464-1515
Mailing Address - Fax:870-464-1514
Practice Address - Street 1:303 PROFESSIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:ARKADELPHIA
Practice Address - State:AR
Practice Address - Zip Code:71923-5317
Practice Address - Country:US
Practice Address - Phone:870-464-1515
Practice Address - Fax:870-464-1514
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2015-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0503016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional