| Doctor Name: | ANGELA JEAN KEMNER |
| NPI Number: | 1295831600 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSE, LPC |
| License Number: | 2008034851 |
| Business Practice Address: | 8965 Highway 36 Box 2 Hannibal, MO - 634016739 |
| Business Phone Number: | 5734060818 |
| Business Fax Number: | 5734060818 |
| Mailing Address: | 2121 E Wilmar Dr, QUINCY |
| State: | IL |
| Postal Code: | 623016902 |
| Phone Number: | 2172280174 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2008034851 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy 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 |