Provider Demographics
NPI:1508221276
Name:HUMES, KENDAL WELLINGTON (LPC, LAC, NCC)
Entity Type:Individual
Prefix:DR
First Name:KENDAL
Middle Name:WELLINGTON
Last Name:HUMES
Suffix:
Gender:M
Credentials:LPC, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 BELL AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-3323
Mailing Address - Country:US
Mailing Address - Phone:719-582-4362
Mailing Address - Fax:
Practice Address - Street 1:1117 BELL AVE
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-3323
Practice Address - Country:US
Practice Address - Phone:719-582-4362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-23
Last Update Date:2021-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health