Mr Leslie D Mooneyham, MA, LPC | |
Rr 2 Box 2711, Wheatland, MO 65779-9809 | |
(573) 298-1786 | |
(888) 301-6832 |
Full Name | Mr Leslie D Mooneyham |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | Rr 2 Box 2711, Wheatland, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326130873 | NPI | - | NPPES |
497430108 | Medicaid | MO | |
497430116 | Medicaid | MO | |
497430124 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2005024749 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Leslie D Mooneyham, MA, LPC Rr 2 Box 2711, Wheatland, MO 65779-9809 Ph: (573) 298-1786 | Mr Leslie D Mooneyham, MA, LPC Rr 2 Box 2711, Wheatland, MO 65779-9809 Ph: (573) 298-1786 |
Shirley Rebekah Whitley, PLCP Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 1664, Wheatland, MO 65779 Phone: 816-289-0472 | |
Mrs. Jonna J Mooneyham, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 2 Box 2711, Wheatland, MO 65779 Phone: 573-680-2535 Fax: 888-301-6832 |